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Peritonsillar abscess: epidemiology and relationship with climate variations

Published online by Cambridge University Press:  02 May 2017

G S M Freire*
Affiliation:
Department of Otolaryngology, Hospital Universitário de Brasília, Universidade de Brasília, Brasília, Brazil
J H Z dos Santos
Affiliation:
Department of Otolaryngology, Hospital Universitário de Brasília, Universidade de Brasília, Brasília, Brazil
P A Rolón
Affiliation:
Department of Internal Medicine, Hospital Regional da Asa Norte, Brasília, Brazil
G B Pinheiro
Affiliation:
Department of Otolaryngology, Hospital de Base do Distrito Federal, Brasília, Brazil
A L L Sampaio
Affiliation:
Department of Otolaryngology, Hospital Universitário de Brasília, Universidade de Brasília, Brasília, Brazil
*
Address for correspondence: Dr Gustavo Subtil Magalhães Freire, SGAN 605, Avenida L2 Norte, 70830-200 Brasília, DF, Brazil Fax: +55 61 2028 5580 E-mail: gustavosmf@gmail.com

Abstract

Background:

Peritonsillar abscess is the most common deep infection of the head and neck in young adults. It is considered a purulent complication of acute tonsillitis, but other mechanisms have been proposed. There is no consensus as to whether seasonality affects peritonsillar abscess incidence.

Methods:

This observational, descriptive, retrospective study explored the epidemiology of peritonsillar abscess and its relationship with seasonality. The cases were selected from the emergency otolaryngology service of a tertiary hospital.

Results:

The sample comprised 528 patients (42.61 per cent males, mean age = 26.63 years). A moderate positive correlation was found between peritonsillar abscess incidence and monthly average temperature. No associations were found with insolation, precipitation or humidity.

Conclusion:

In this sample, peritonsillar abscess was more likely to occur in warmer months. The findings corroborate the theory that peritonsillar abscess is not a direct complication of acute tonsillitis and may improve understanding of peritonsillar abscess aetiology.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Mazur, E, Czerwinska, E, Korona Glowniak, I, Grochowalska, A, Koziol-Montewka, M. Epidemiology, clinical history and microbiology of peritonsillar abscess. Eur J Clin Microbiol Infect Dis 2015;34:549–54Google Scholar
2 Petruzzelli, GJ, Johnson, JT. Peritonsillar abscess. Why aggressive management is appropriate. Postgrad Med 1990;88:99100,103–5CrossRefGoogle ScholarPubMed
3 Galioto, NJ. Peritonsillar abscess. Am Fam Physician 2008;77:199202 Google ScholarPubMed
4 Segal, N, El-Saied, S, Puterman, M. Peritonsillar abscess in children in the southern district of Israel. Int J Pediatr Otorhinolaryngol 2009;73:1148–50Google Scholar
5 Marom, T, Cinamon, U, Itskoviz, D, Roth, Y. Changing trends of peritonsillar abscess. Am J Otolaryngol 2010;31:162–7Google Scholar
6 Ong, YK, Goh, YH, Lee, YL. Peritonsillar infections: local experience. Singapore Med J 2004;45:105–9Google ScholarPubMed
7 Klug, TE. Incidence and microbiology of peritonsillar abscess: the influence of season, age, and gender. Eur J Clin Microbiol Infect Dis 2014;33:1163–7Google Scholar
8 Kordeluk, S, Novack, L, Puterman, M, Kraus, M, Joshua, BZ. Relation between peritonsillar infection and acute tonsillitis: myth or reality? Otolaryngol Head Neck Surg 2011;145:940–5Google Scholar
9 Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2010. Population and household characteristics: results for the sample universe. In: http://www.ibge.gov.br/home/estatistica/populacao/censo2010/ [10 January 2017]Google Scholar
10 Instituto Nacional de Meteorologia. Climatological Graph, Federal District, 2007–2011. In: http://www.inmet.gov.br/portal/index.php?r=clima/normaisClimatologicas [10 January 2017]Google Scholar