Corticosteroids and peritonsillar abscess formation in infectious mononucleosis.
J Laryngol Otol
; 118(6): 459-61, 2004 Jun.
Article
en En
| MEDLINE
| ID: mdl-15285866
ABSTRACT
Peritonsillar abscess formation is an uncommon complication of infectious mononucleosis (IM). Early case reports implicated corticosteroids in the development of such abscesses, however, subsequent studies suggested that these drugs do not promote the formation of abscesses at several sites outside the central nervous system. It has recently been demonstrated that zwitterionic polysaccharides, in bacterial capsules, form complexes with CD4(+) T lymphocytes leading to abscess formation. A patient is presented who developed peritonsillar abscess a few days after initiation of corticosteroid therapy for IM; the medical literature was reviewed in respect of this subject. It appears that the occurrence of these abscesses in IM is not strongly linked to corticosteroid treatment. The authors, therefore, recommend that steroids should not be withheld from patients with severe IM on the basis that they may precipitate the development of peritonsillar abscess.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Dexametasona
/
Absceso Peritonsilar
/
Glucocorticoides
/
Mononucleosis Infecciosa
Límite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
J Laryngol Otol
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2004
Tipo del documento:
Article