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[Peritonsillar abscess in a child caused by ampicillin resistant Haemophilus influenzae]
1Paediatrisk afdeling, Randers Centralsygehus.
Ugeskrift for Laeger
|November 26, 1990
Abstract:
An unusual case of peritonsillar abscess in a six year old boy is presented. The abscess was initially treated with penicillin without success and afterwards with ampicillin and tonsillectomy. Cultivation of pus from the abscess revealed beta-lactamase producing Haemophilus influenzae. The patient was finally successfully treated with sulfamethizole.
Insights
A pediatric peritonsillar abscess caused by beta-lactamase producing Haemophilus influenzae was resistant to penicillin and ampicillin. Successful treatment was achieved with sulfamethizole, highlighting an alternative therapeutic option.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
- Microbiology
Background:
- Peritonsillar abscesses are common complications of tonsillitis, typically treated with antibiotics and surgical drainage.
- Standard antibiotic regimens may fail due to antibiotic resistance, necessitating alternative treatment strategies.
Observation:
- A six-year-old boy presented with a peritonsillar abscess that did not respond to initial penicillin treatment.
- Subsequent treatment with ampicillin and tonsillectomy also proved unsuccessful.
Findings:
- Pus cultivation from the abscess identified beta-lactamase producing Haemophilus influenzae as the causative agent.
- The patient achieved successful resolution of the abscess after treatment with sulfamethizole.
Implications:
- This case underscores the importance of microbial culture and sensitivity testing in managing refractory peritonsillar abscesses.
- Sulfamethizole can be an effective alternative treatment for peritonsillar abscesses caused by beta-lactamase producing Haemophilus influenzae, particularly in cases of antibiotic failure.