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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 11/2007

01-11-2007 | Head and Neck

Screening for glandular fever in patients with Quinsy: is it necessary?

Authors: M. M. Shareef, N. Balaji, P. Adi-Romero

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2007

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Abstract

Quinsy (peritonsillar abscess) is a common emergency seen in otolaryngology practice. These patients are often screened for glandular fever in addition to routine haematological tests. In our unit, we have screened 66 patients with quinsy for glandular fever over a period of 12 months. All these patients were screened for glandular fever by rapid immunoassay. Only one out of 66 patients was tested positive for glandular fever. Due to the extremely low incidence of glandular fever in quinsy patients, we do not see any relevance in screening for glandular fever in quinsy patients. Hence we recommend that routine screening for glandular fever in quinsy patients is an unnecessary invasive investigation for the patients and not cost effective for the hospital.
Literature
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Monem SA, O’Conner PFF, O’Leary TG (1999) Peritonsillar abscess and infectious mononucleosis: an association or a different presentation of the same condition. Ir Med J 92(2):278–280PubMed
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Johnsen T, Katholm M, Stangerup SE (1984) Otolaryngological complications in infectious mononucleosis. J Laryngol Otol 99:999–1001
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Arkkila E, Sipila J, Laurikainen E, Suonpaa J (1998) Peritonsillar abscess associated with infectious mononucleosis. ORL 60:159–163PubMedCrossRef
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Metadata
Title
Screening for glandular fever in patients with Quinsy: is it necessary?
Authors
M. M. Shareef
N. Balaji
P. Adi-Romero
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2007
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-007-0355-4

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