Advanced

A 2-year follow-up study of patients with pharyngotonsillitis

Pallon, Jon LU ; Sundqvist, Martin and Hedin, Katarina LU (2018) In BMC Infectious Diseases 18.
Abstract

Background: Longtime follow-up studies on patients with pharyngotonsillitis are rare. We aimed to describe the patterns of new visits for a sore throat, complications and tonsillectomy during 2 years in a cohort of patients with pharyngotonsillitis and non-infected controls. Methods: A retrospective chart review was performed on a cohort of patients with acute sore throat (n = 207), and non-infected controls (n = 108). New visits, complications and tonsillectomy within 2 years was recorded and analyzed in relation to microbiological findings at inclusion. Results: Patients with Group A streptococci (GAS) (12/66) reconsulted more often within 30 days than patients with no GAS (9/141) (p = 0.009) and patients with F. necrophorum (2/29).... (More)

Background: Longtime follow-up studies on patients with pharyngotonsillitis are rare. We aimed to describe the patterns of new visits for a sore throat, complications and tonsillectomy during 2 years in a cohort of patients with pharyngotonsillitis and non-infected controls. Methods: A retrospective chart review was performed on a cohort of patients with acute sore throat (n = 207), and non-infected controls (n = 108). New visits, complications and tonsillectomy within 2 years was recorded and analyzed in relation to microbiological findings at inclusion. Results: Patients with Group A streptococci (GAS) (12/66) reconsulted more often within 30 days than patients with no GAS (9/141) (p = 0.009) and patients with F. necrophorum (2/29). After 2 years, we observed no significant differences in reconsultations with regard to aetiology at inclusion. A single complication was recorded and 5 patients were planned for tonsillectomy. Conclusions: Group A streptococci were the sole aetiological agent associated with recurrent sore throat while F. necrophorum did not distinguish itself as a major cause of either recurrent infection or complications in this cohort. More studies, preferably with the focus on adolescents, are needed before F. necrophorum can be considered an important cause of pharyngotonsillitis.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Etiology, Fusobacterium necrophorum, Pharyngitis, Primary healthcare
in
BMC Infectious Diseases
volume
18
publisher
BioMed Central
external identifiers
  • scopus:85039858497
ISSN
1471-2334
DOI
10.1186/s12879-017-2917-4
language
English
LU publication?
yes
id
2c34c01f-9ec5-46f8-af46-c7517aa832a0
date added to LUP
2018-01-23 15:08:24
date last changed
2018-05-29 12:17:46
@article{2c34c01f-9ec5-46f8-af46-c7517aa832a0,
  abstract     = {<p>Background: Longtime follow-up studies on patients with pharyngotonsillitis are rare. We aimed to describe the patterns of new visits for a sore throat, complications and tonsillectomy during 2 years in a cohort of patients with pharyngotonsillitis and non-infected controls. Methods: A retrospective chart review was performed on a cohort of patients with acute sore throat (n = 207), and non-infected controls (n = 108). New visits, complications and tonsillectomy within 2 years was recorded and analyzed in relation to microbiological findings at inclusion. Results: Patients with Group A streptococci (GAS) (12/66) reconsulted more often within 30 days than patients with no GAS (9/141) (p = 0.009) and patients with F. necrophorum (2/29). After 2 years, we observed no significant differences in reconsultations with regard to aetiology at inclusion. A single complication was recorded and 5 patients were planned for tonsillectomy. Conclusions: Group A streptococci were the sole aetiological agent associated with recurrent sore throat while F. necrophorum did not distinguish itself as a major cause of either recurrent infection or complications in this cohort. More studies, preferably with the focus on adolescents, are needed before F. necrophorum can be considered an important cause of pharyngotonsillitis.</p>},
  articleno    = {3},
  author       = {Pallon, Jon and Sundqvist, Martin and Hedin, Katarina},
  issn         = {1471-2334},
  keyword      = {Etiology,Fusobacterium necrophorum,Pharyngitis,Primary healthcare},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Infectious Diseases},
  title        = {A 2-year follow-up study of patients with pharyngotonsillitis},
  url          = {http://dx.doi.org/10.1186/s12879-017-2917-4},
  volume       = {18},
  year         = {2018},
}