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ACUTE FAUClAL TONSILLITIS DUE TO GRAM NEGATIVE BACILLI, A REPORT OF TEN CASES Satoru Takayama 1 pp.885-892
Published Date 1976/11/20
DOI https://doi.org/10.11477/mf.1492208424
  • Abstract
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 Ten cases of acute tonsillitis, which were considered to be caused by gram negative bacilli such as pseudomonas aeruginosa and/or klebsiella, were reported. Although gram positive cocci (GPC), in acute tonsillitis, are considered as the most important causative factor and GNB not, as that yet, the latter may produce acute tonsillitis as that of so-called opportunistic infections. In the reported 10 cases there were some ill conditions existing among the hosts. One case was subjected to a long-term administration of massive doses of antitumorigenic drugs and antibiotics. Two cases were under a prolonged period in the use of steroidhormones. In 7 cases antibiotics were administered for a prolong period which caused ecological alteration of tonsillar microflora.

 As pseudomonas aeruginosa and klebsiella are naturally resistant to antibiotics frequently used today, acute tonsillitis due to GNB may increase in future. For a definitive diagnosis of acute tonsillitis, throat cultures should be resorted to routinely. GNB infection must be suspected when the state of acute tonsillitis is not improved with-in 3 or 4 days after the administration of antibiotics.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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