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Table 4 Characteristics of 34 well-described patients with peritonsillar abscess (PTA) and necrotizing fasciitis (NF)

From: Complications of peritonsillar abscess

References

Age (years)

Gender

Microbiologic findings

Treatment of PTA prior to NF development

Outcome

Surgery

Antibiotics

Wills [42]

35

M

S. maltophilia; VGS; B. melaninogenicus

Spon perf

Iv. pen

Survived

Wenig [43]

50

M

AHS; F. nucleatum; E. lentum; B. melaninogenicus; P. anaerobius; E. cloacae; S. epidermidis; Klebsiella spp.; P. aeruginosa

Simultaneousa

 

Died

Wenig [63]

50

M

AHS; E. coli; mitis group strep.; S. san-guis; S. faecalis; B. fragilis; B. mela-ninogenicus; Corynebacterium spp.

Incision

Iv. cefazolin

Died

Pedersen [37]

67

M

No cultures

Simultaneousa

 

Died

Lalwani [44]

33

M

GCS; B. melaninogenicus

Incision

Im. pen

Survived

Tovi [43]

20

M

Enterobacter spp.; P. mirabilis; K. pneumoniae

NIb

 

Died

Scott [46]

51

M

Milleri group strep; NHS; anaerobes

Drainage

Iv. cefo, fluclo, metro

Survived

Maisel [50]

29

M

VGS

NIb

 

Survived

Jackson [47]

63

M

E. lentum; P. anaerobius; B. fragilis

Drainage

None

Survived

Greinwald [45]

65

M

GAS; S. epidermidis

Incision

Iv. ampicillin

Survived

Hadfield [48]

53

M

GCS; Bacteroides spp.

Incision

Iv. cefo, metro

Survived

Skitalic [51]

50

F

S. epidermidis; (GAS antibodies)

Simultaneousa

 

Survived

Djupesland [52]

39

M

GAS

Simultaneousa

 

Died

Djupesland [52]

36

M

Milleri group strep.; Bacteroides spp.

Asp

Iv. pen, tobra, metro

Survived

Nielsen [58]

NI

NI

GCS

NIb

 

Died

Safak [49]

43

F

GAS; CNS; Enterococci

Drainage

Iv. pen, im. chlor

Survived

Goldenberg [53]

53

F

BHS

Incision

Iv. pen → pip-tazo

Survived

Vaid [61]

55

M

GAS

Simultaneousa

 

Survived

Beninsegna [41]

58

M

S. epidermidis

Acute tons

Iv. ampicillin, metro

Survived

Beninsegna [41]

80

M

GAS; Peptostreptococcus spp.; C. albicans

Incision

Iv. ampicillin, metro

Survived

Losanoff [54]

54

M

NHS; Peptostreptococcus spp.

No

Iv. ceftriaxo-ne, amoxicillin

Survived

Bono [55]

60

M

No cultures

Spon perf

Iv. ceftriaxo-rine, metro

Died

Wolf [57]

62

M

GAS

NIb

 

Survived

Wolf [57]

49

M

NHS

NIb

 

Survived

Andres [56]

87

F

Staphylococci

NIb

 

Survived

Andres [56]

64

F

Staphylococci; Gram-negative rod

NIb

 

Survived

Andres [56]

44

M

Staphylococci; Gram-negative rod; C. albicans

NIb

 

Survived

Andres [56]

44

M

Staphylococci; Gram-negative rod; C. albicans

NIb

 

Survived

Horváth [59]

55

M

No bacterial growth

NIb

 

Survived

Horváth [59]

61

F

Parvimonas micra

NIb

 

Survived

Flores [62]

38

M

S. constellatus, Peptostreptococcus spp., Prevotella spp.

Simultaneousa

 

Survived

Brown [64]

56

M

Prevotella spp; CNS

Incision

Clindamycin

Survived

Irani [66]

33

M

S. aureus

Incision

Iv. antibiotics

Survived

Burstin [65]

47

F

Milleri group strep.; anaerobes

No

Iv. antibiotics

Survived

  1. Bacterial names are written as reported by author (and not changed according to current nomenclature)
  2. VGS viridans group streptococci, Spon perf spontaneous perforation, Pen penicillin, Iv Intravenous, Strep streptococci, Im intramuscular, Cefo cefotaxime, Fuclo flucloxacillin, AHS alpha-hemolytic streptococci, GCS Group C streptococci, NHS non-hemolytic streptococci, CNS coagulase-negative staphylococci, BHS beta-hemolytic streptococci, GAS Group A streptococci, Asp aspiration, Tobra tobramycin, Chlor chloramphenicol, Pip-tazo piperacillin-tazobactam, Tons tonsillectomy
  3. aSimultaneous diagnosis and treatment of PTA and NF
  4. bNo information regarding the time relation between PTA and NF