Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
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Pol. Merkur. Lekarski · Feb 2008
Review[The role of anaerobic bacteria in peritonsillar abscesses].
Peritonsillar abscess (quinsy) is a complication of acute bacterial tonsillitis. Its treatment remains controversial. Needle drainage of the abscess may provide an alternative to incision or tonsillectomy. ⋯ It is, however, necessary to consider infection with anaerobes. Therefore, penicillin and metronidazole are recommended as the antibiotic regimen of choice in the treatment of peritonsillar abscesses. If this treatment is ineffective, broad-spectrum antibiotics (clindamycin) should be administered.
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Delirium presents as a diagnosis joining closely other medical disciplines. Because of its serious prognosis, precise causal diagnostic is required. Selective therapy, to avoid serious prognosis, is possible when delirium is early diagnosed and ethiology is established. The present work is to remind risk factors of delirium, to explain mechanisms responsible for development of delirium based on various etiology, show biomarkers helpful in making diagnosis, and pay special attention to prodromal symptoms and clinical forms.