造影CT検査により診断された扁桃周囲膿瘍162例の検討

• 資料種別: 記事
• タイトル: 造影CT検査により診断された扁桃周囲膿瘍162例の検討
• 著者標目: 佐伯 忠彦; 小川 晃弘; 春名 威範; 黒田 一彬
• 出版年月日等: 2024
• 出版年（W3CDTF）: 2024
• タイトル（掲載誌）: 耳鼻臨床
• 巻号年月日等（掲載誌）: 117 12
• 掲載巻: 117
• 掲載号: 12
• 掲載ページ: 1105-1113
• 掲載年月日（W3CDTF）: 2024
• ISSN（掲載誌）: 00326313
• 出版事項（掲載誌）: The Society of Practical Otolaryngology
• 本文の言語コード: ja
• 件名標目: peritonsillar abscess; contrast-enhanced CT; bacteriological examination; SBT/ABPC
• 対象利用者: 一般
• DOI: 10.5631/jibirin.117.1105; https://doi.org/10.5631/jibirin.117.1105
• 関連情報（URI）: https://www.jstage.jst.go.jp/article/jibirin/117/12/117_1105/_pdf
• 参照: Epidemiological Study of Erythromycin-Resistant <i>Streptococcus pyogenes</i> From Korea and Japan by emm Genotyping and Multilocus Sequence Typing; https://cir.nii.ac.jp/crid/1360848664329547776; Pathogenesis of peritonsillar abscess; https://cir.nii.ac.jp/crid/1362544419221036800; 入院加療を行った扁桃周囲膿瘍２１５例; https://cir.nii.ac.jp/crid/1390001204262246656; 扁桃周囲膿瘍115症例の臨床的検討; https://cir.nii.ac.jp/crid/1390001205011554816; 扁桃周囲膿瘍のCT所見とその臨床的特徴; https://cir.nii.ac.jp/crid/1390001205012686848; 扁桃周囲膿瘍のCT所見と臨床経過; https://cir.nii.ac.jp/crid/1390282679993366912; 入院加療を行った扁桃周囲膿瘍107例の検討; https://cir.nii.ac.jp/crid/1390288547259995904; 重症扁桃周囲膿瘍に対する膿瘍扁桃摘出術の有用性について; https://cir.nii.ac.jp/crid/1390289920609709824
• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: Japan Link Center; https://japanlinkcenter.org/top; Crossref; https://www.crossref.org

• 要約等: <p>In this retrospective clinical study of peritonsillar abscesses, we reviewed the data of 162 patients with peritosillar abscess, including 116 men and 46 women in the age range of 8 to 86 years old (mean age, 37.0 years), who had been diagnosed by contrast-enhanced CT, hospitalized, and treated for the abscess between January 2017 and December 2022. The abscess was on the left side in 72 (44.4%) cases, on the right side in 80 (49.4%) cases, and bilateral in 10 (6.2%) cases. The abscess was of the superior oval type in 85 (49.4%) sides, of the superior cap type in 41 (23.8%) sides, of the inferior oval type in 25 (14.5%) sides, and of the inferior cap type in 21 (12.2%) sides. Bacteriological examination of the abscess fluid for the causative bacteria in 111 cases yielded 78 causative strains, including 24 strains of aerobic bacteria, predominantly <i>S.pyogenes</i> (51.6%) and 47 strains of anaerobic bacteria; the remainder were mixed bacterial strains. Bacterial resistance rates to antibiotics were as follows: 5.8% for PIPC, 3.4% for CTRX, 2.6% for MEPM, 11.5% for CLDM, 28.6% for LVFX, and 15.4% for MINO. Of the 162 patients, 83 (48.3%) were treated by incision, 25 (14.5%) by puncture, 62 (36.0%) with antibiotics, and 2 (1.2%) by abscess tonsillectomy. The most frequently used antibiotics (87.2% cases) were SBT/ABPC combined with CLDM and/or DEX. The peritonsillar abscess recurred in 14 (8.6%) patients, with the relapse occurring within 3 months of the initial onset in 8 (57.1%) of these cases.</p><p>In conclusion, contrast-enhanced CT should be performed to accurately diagnose the location, size, and shape of peritonsillar abscess, and to select the optimal treatment.</p>
• DOI: 10.5631/jibirin.117.1105
• オンライン閲覧公開範囲: インターネット公開
• 連携機関・データベース: 科学技術振興機構 : J-STAGE; http://www.jstage.jst.go.jp