Peritonsillar cellulitis and quinsy, clinical presentation and management

The study was done to find the various clinical presentations and compare the out come / prognosis of peritonsillar cellulites and guising. A Descriptive study. Department of ENT and Head and Neck surgery Jinnah Medical and Dental College and Fatima Hospital, Baqai Medical University Karachi, from May 2001 to June 2006. This is a retrospective study of the treatment and their out come of 102 patients, 73 [71.6%] had peritonsillar abscess or quinsy while 29 [28.4%] had peritonsillar cellulitis who were treated indoor over a period of five years. The main modality of treatment was incision and drainage of pus in 73 [71.6%] patients and needle aspiration in 29 [28.4%] cases which resulted with 3 positive 26 negative and 5 false negative aspirates. Antibiotics given in combinations with an average stay of 5 to 8 days in the ward. Within 2 to 5 months 12 [11.7%] cases had recurrence, while none had bilateral quinsy. Tonsillectomy was done in 35 [34.3%] patients after 6 weeks. In peritonsillar infections needle aspiration is useful to differentiate between the two entities. Cellulitis usually resolves by intravenous antibiotics, when an abscess is suspected incision and drainage remains the gold standard treatment which is followed by antibiotics and tonsillectomy in selected cases

Chronic suppurative otitis media: disease pattern and drug sensitivity

To identify the frequency of bacterial isolates associated with chronic suppurative otitis media [CSOM] and to determine their antibiotic sensitivity pattern. Descriptive study. Department of E.N.T, Jinnah Medical and Dental College Hospital, Korangi Karachi, from April 2003 to June 2005. Two hundred patients of CSOM were included in this study. Ear swabs were taken from these patients and cultured on chocolate and blood agar. Antibiotic sensitivity was determined by disc diffusion method using Muller Hinton agar. Biochemical tests were used in identifying gram-negative bacteria. From 200 ear swabs different micro-organisms were isolated. The bacteria isolated were Pseudomonas aeruginosa in 83 cases, Staphylococcus aureus in 38 patients, Proteus mirabilis in 36, Klebsiella pneumoniae in 21, Escherichia coli in 8, beta haemolytic Streptococcus in 10 and Serratia species in 4 patients. Most of the bacterial isolates were resistant to common antibiotics but they were sensitive to ofloxocin [92.2%], ciprofloxocin [92.2%], amikacin [90%], gentamycin [88.4%], ceftazidime [86.4], ceftriaxone [70.4%], polymyxin B [70%], amoxicillin clav.[40%], ampicillin [10%], cephradine [10%] erythromycin [6%].In CSOM, high rate of multiple drug resistance specially to frequently used antibiotics has risen