Abscess: Difference between revisions

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Abscesses are caused by many different pathogens based on their anatomical location. The following table summarizes pathogenic causes of abscesses.<ref name="pmid15573356">{{cite journal| author=Brook I| title=Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. | journal=J Oral Maxillofac Surg | year= 2004 | volume= 62 | issue= 12 | pages= 1545-50 | pmid=15573356 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15573356  }} </ref><ref name="pmid18039418">{{cite journal| author=Megalamani SB, Suria G, Manickam U, Balasubramanian D, Jothimahalingam S| title=Changing trends in bacteriology of peritonsillar abscess. | journal=J Laryngol Otol | year= 2008 | volume= 122 | issue= 9 | pages= 928-30 | pmid=18039418 | doi=10.1017/S0022215107001144 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18039418  }} </ref><ref name="pmid1875138">{{cite journal| author=Snow DG, Campbell JB, Morgan DW| title=The microbiology of peritonsillar sepsis. | journal=J Laryngol Otol | year= 1991 | volume= 105 | issue= 7 | pages= 553-5 | pmid=1875138 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1875138  }} </ref><ref name="pmid12092281">{{cite journal| author=Matsuda A, Tanaka H, Kanaya T, Kamata K, Hasegawa M| title=Peritonsillar abscess: a study of 724 cases in Japan. | journal=Ear Nose Throat J | year= 2002 | volume= 81 | issue= 6 | pages= 384-9 | pmid=12092281 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12092281  }} </ref><ref name="pmid2235179">{{cite journal| author=Asmar BI| title=Bacteriology of retropharyngeal abscess in children. | journal=Pediatr Infect Dis J | year= 1990 | volume= 9 | issue= 8 | pages= 595-7 | pmid=2235179 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2235179  }} </ref><ref name="pmid14623752">{{cite journal| author=McClay JE, Murray AD, Booth T| title=Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. | journal=Arch Otolaryngol Head Neck Surg | year= 2003 | volume= 129 | issue= 11 | pages= 1207-12 | pmid=14623752 | doi=10.1001/archotol.129.11.1207 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14623752  }} </ref><ref name="pmid18427007">{{cite journal| author=Wright CT, Stocks RM, Armstrong DL, Arnold SR, Gould HJ| title=Pediatric mediastinitis as a complication of methicillin-resistant Staphylococcus aureus retropharyngeal abscess. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 4 | pages= 408-13 | pmid=18427007 | doi=10.1001/archotol.134.4.408 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18427007  }} </ref><ref name="pmid15573356">{{cite journal| author=Brook I| title=Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. | journal=J Oral Maxillofac Surg | year= 2004 | volume= 62 | issue= 12 | pages= 1545-50 | pmid=15573356 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15573356  }} </ref><ref name="pmid18948832">{{cite journal| author=Inman JC, Rowe M, Ghostine M, Fleck T| title=Pediatric neck abscesses: changing organisms and empiric therapies. | journal=Laryngoscope | year= 2008 | volume= 118 | issue= 12 | pages= 2111-4 | pmid=18948832 | doi=10.1097/MLG.0b013e318182a4fb | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18948832  }} </ref><ref name="pmid22481424">{{cite journal| author=Abdel-Haq N, Quezada M, Asmar BI| title=Retropharyngeal abscess in children: the rising incidence of methicillin-resistant Staphylococcus aureus. | journal=Pediatr Infect Dis J | year= 2012 | volume= 31 | issue= 7 | pages= 696-9 | pmid=22481424 | doi=10.1097/INF.0b013e318256fff0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22481424  }} </ref><ref name="pmid23520072">{{cite journal| author=Cheng J, Elden L| title=Children with deep space neck infections: our experience with 178 children. | journal=Otolaryngol Head Neck Surg | year= 2013 | volume= 148 | issue= 6 | pages= 1037-42 | pmid=23520072 | doi=10.1177/0194599813482292 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23520072  }} </ref>
Abscesses are caused by many different pathogens based on their anatomical location. The following table summarizes pathogenic causes of abscesses.<ref name="pmid15573356">{{cite journal| author=Brook I| title=Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. | journal=J Oral Maxillofac Surg | year= 2004 | volume= 62 | issue= 12 | pages= 1545-50 | pmid=15573356 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15573356  }} </ref><ref name="pmid18039418">{{cite journal| author=Megalamani SB, Suria G, Manickam U, Balasubramanian D, Jothimahalingam S| title=Changing trends in bacteriology of peritonsillar abscess. | journal=J Laryngol Otol | year= 2008 | volume= 122 | issue= 9 | pages= 928-30 | pmid=18039418 | doi=10.1017/S0022215107001144 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18039418  }} </ref><ref name="pmid1875138">{{cite journal| author=Snow DG, Campbell JB, Morgan DW| title=The microbiology of peritonsillar sepsis. | journal=J Laryngol Otol | year= 1991 | volume= 105 | issue= 7 | pages= 553-5 | pmid=1875138 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1875138  }} </ref><ref name="pmid12092281">{{cite journal| author=Matsuda A, Tanaka H, Kanaya T, Kamata K, Hasegawa M| title=Peritonsillar abscess: a study of 724 cases in Japan. | journal=Ear Nose Throat J | year= 2002 | volume= 81 | issue= 6 | pages= 384-9 | pmid=12092281 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12092281  }} </ref><ref name="pmid2235179">{{cite journal| author=Asmar BI| title=Bacteriology of retropharyngeal abscess in children. | journal=Pediatr Infect Dis J | year= 1990 | volume= 9 | issue= 8 | pages= 595-7 | pmid=2235179 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2235179  }} </ref><ref name="pmid14623752">{{cite journal| author=McClay JE, Murray AD, Booth T| title=Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. | journal=Arch Otolaryngol Head Neck Surg | year= 2003 | volume= 129 | issue= 11 | pages= 1207-12 | pmid=14623752 | doi=10.1001/archotol.129.11.1207 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14623752  }} </ref><ref name="pmid18427007">{{cite journal| author=Wright CT, Stocks RM, Armstrong DL, Arnold SR, Gould HJ| title=Pediatric mediastinitis as a complication of methicillin-resistant Staphylococcus aureus retropharyngeal abscess. | journal=Arch Otolaryngol Head Neck Surg | year= 2008 | volume= 134 | issue= 4 | pages= 408-13 | pmid=18427007 | doi=10.1001/archotol.134.4.408 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18427007  }} </ref><ref name="pmid15573356">{{cite journal| author=Brook I| title=Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. | journal=J Oral Maxillofac Surg | year= 2004 | volume= 62 | issue= 12 | pages= 1545-50 | pmid=15573356 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15573356  }} </ref><ref name="pmid18948832">{{cite journal| author=Inman JC, Rowe M, Ghostine M, Fleck T| title=Pediatric neck abscesses: changing organisms and empiric therapies. | journal=Laryngoscope | year= 2008 | volume= 118 | issue= 12 | pages= 2111-4 | pmid=18948832 | doi=10.1097/MLG.0b013e318182a4fb | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18948832  }} </ref><ref name="pmid22481424">{{cite journal| author=Abdel-Haq N, Quezada M, Asmar BI| title=Retropharyngeal abscess in children: the rising incidence of methicillin-resistant Staphylococcus aureus. | journal=Pediatr Infect Dis J | year= 2012 | volume= 31 | issue= 7 | pages= 696-9 | pmid=22481424 | doi=10.1097/INF.0b013e318256fff0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22481424  }} </ref><ref name="pmid23520072">{{cite journal| author=Cheng J, Elden L| title=Children with deep space neck infections: our experience with 178 children. | journal=Otolaryngol Head Neck Surg | year= 2013 | volume= 148 | issue= 6 | pages= 1037-42 | pmid=23520072 | doi=10.1177/0194599813482292 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23520072  }} </ref>
{| class="wikitable"
{| class="wikitable"
!Anatomical location
! colspan="2" |Anatomical location
!Common causes
!Common causes
!Less common causes
!Less common causes
!Comments
!Comments
|-
|-
|Brain abscess
| colspan="2" |Brain abscess
|
|
* [[Staphylococcus aureus]]
* [[Staphylococcus aureus]]
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* To see a complete list of brain abscesses's causes, click [[Brain abscess causes|here]].
* To see a complete list of brain abscesses's causes, click [[Brain abscess causes|here]].
|-
|-
|Tonsillar and peritonsillar abscess
| colspan="2" |Tonsillar and peritonsillar abscess
|
|
*[[Streptococcus pyogenes]]
*[[Streptococcus pyogenes]]
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| --
| --
|-
|-
|Retropharyngeal abscess
| colspan="2" |Retropharyngeal abscess
|
|
*Poly-microbial infections
*[[Streptococcus Group A|Beta-hemolytic streptococcus]]
*Beta-hemolytic [[streptococcus]]
*[[Streptococcus pyogenes]] (group A streptococcus [GAS])
*[[Streptococcus pyogenes]] (group A streptococcus [GAS])
*[[Staphylococcus aureus]] (including methicillin-resistant S. aureus [MRSA])
*[[Staphylococcus aureus]] (including methicillin-resistant S. aureus [MRSA])
*[[Prevotella]]
*Veillonella
|
|
*[[Haemophilus Influenzae B|Haemophilus Influenzae]]
*[[Haemophilus Influenzae B|Haemophilus Influenzae]]
Line 62: Line 59:
*[[Bacteroides]]
*[[Bacteroides]]
*[[Fusobacterium]]
*[[Fusobacterium]]
*[[Salmonella]]
*[[Mycobacterium]]
*[[Bartonella henselae]]
*[[Porphyromonas]] species
|
|
* Retropharyngeal abscess are usually caused by polymicrobial flora.
* To see a complete list of retropharyngeal abscess' causes, click [[Retropharyngeal abscess causes|here]].
|-
|-
|Lung Abscess
| colspan="2" |Lung Abscess
|
|
*[[Bacteroides]]
*[[Bacteroides]]
Line 81: Line 77:
*[[Melioidosis]]
*[[Melioidosis]]
|
|
* To see a complete list of lung abscess' causes, click [[Lung abscess causes|here]].
* About 90% of the lung abscess is caused by polymicrobial [[infection]].<ref name="pmid28705">{{cite journal |vauthors=Cesar L, Gonzalez C, Calia FM |title=Bacteriologic flora of aspiration-induced pulmonary infections |journal=Arch. Intern. Med. |volume=135 |issue=5 |pages=711–4 |year=1975 |pmid=28705 |doi= |url=}}</ref> <ref name="pmid22209937">{{cite journal |vauthors=Bartlett JG |title=Anaerobic bacterial infection of the lung |journal=Anaerobe |volume=18 |issue=2 |pages=235–9 |year=2012 |pmid=22209937 |doi=10.1016/j.anaerobe.2011.12.004 |url=}}</ref>
* About 90% of the lung abscess is caused by polymicrobial [[infection]].<ref name="pmid28705">{{cite journal |vauthors=Cesar L, Gonzalez C, Calia FM |title=Bacteriologic flora of aspiration-induced pulmonary infections |journal=Arch. Intern. Med. |volume=135 |issue=5 |pages=711–4 |year=1975 |pmid=28705 |doi= |url=}}</ref> <ref name="pmid22209937">{{cite journal |vauthors=Bartlett JG |title=Anaerobic bacterial infection of the lung |journal=Anaerobe |volume=18 |issue=2 |pages=235–9 |year=2012 |pmid=22209937 |doi=10.1016/j.anaerobe.2011.12.004 |url=}}</ref>
* [[Anaerobes]] are the predominant [[pathogens]] involved in primary lung abscess, followed by [[Streptococcus pneumoniae]].
* [[Anaerobes]] are the predominant [[pathogens]] involved in primary lung abscess, followed by [[Streptococcus pneumoniae]].


* [[Klebsiella pneumoniae]] is the more commonly seen in alcoholics.<ref name="pmid15824979">{{cite journal |vauthors=Wang JL, Chen KY, Fang CT, Hsueh PR, Yang PC, Chang SC |title=Changing bacteriology of adult community-acquired lung abscess in Taiwan: Klebsiella pneumoniae versus anaerobes |journal=Clin. Infect. Dis. |volume=40 |issue=7 |pages=915–22 |year=2005 |pmid=15824979 |doi=10.1086/428574 |url=}}</ref>
* [[Klebsiella pneumoniae]] is the more commonly seen in alcoholics.<ref name="pmid15824979">{{cite journal |vauthors=Wang JL, Chen KY, Fang CT, Hsueh PR, Yang PC, Chang SC |title=Changing bacteriology of adult community-acquired lung abscess in Taiwan: Klebsiella pneumoniae versus anaerobes |journal=Clin. Infect. Dis. |volume=40 |issue=7 |pages=915–22 |year=2005 |pmid=15824979 |doi=10.1086/428574 |url=}}</ref>
* To see a complete list of lung abscess' causes, click [[Lung abscess causes|here]].


|-
|-
|Breast Abscess
| colspan="2" |Breast Abscess
|
* [[Staphylococcus aureus]]
* [[Streptococcus pyogenes]]
* [[Lactobacillus]]
* [[Clostridium]]
|
|
* [[Bacteroides]] spp
* [[Enterobacteria]]
| --
|-
| rowspan="3" |Liver abscess
|Pyogenic
|
|
* [[Streptococcus|Streptococcus sp]]
* ''[[Staphylococcus aureus]]''
* ''[[Staphylococcus epidermidis]]''
* [[Escherichia coli]]
* [[Salmonella typhi]]
* [[Yersinia enterocolitica]]
* [[Bacteroides|Bacteroids sp]]
* [[Fusobacterium]] 
|
|
* [[Mycobacterium tuberculosis]]
* ''[[Actinomyces|Actinomyces sp]]''
* ''[[Enterococcus|Enterococcus sp]]''
* [[Streptococcus milleri]]
* [[Klebsiella|K.pneumonia]]
* ''[[Pseudomonas|Pseudomonas sp]]'' 
|To see a complete list of pyogenic liver abscess' causes, click [[Pyogenic liver abscess causes|here]].
|-
|-
|Amoebic
|
|
* [[Entamoeba histolytica]]
|<nowiki>--</nowiki>
|<nowiki>--</nowiki>
|-
|Fungal
|
|
* ''[[Candida|Candida species]]''
* [[Aspergillus|Aspergillus species]]
|<nowiki>--</nowiki>
|<nowiki>--</nowiki>
|-
| colspan="2" |Splenic abscess
|
|
** [[Staphylococcus|Staphylococcus species]]
** [[Streptococcus|Streptococcal species]]
** [[Bacteroides]]
** [[Actinomyces]]
** [[Candida albicans]]
** [[Entamoeba histolytica]]
|
|
* [[Aureobasidium pullulans]]
* [[Bacillus cereus]]
* [[Brucella]]
* [[Citrobacter freundii]]
* [[Cryptococcus neoformans]]
|To see a complete list of splenic abscess' causes, click here.
|-
|-
| colspan="2" |Pancreatic abscess
|
|
* [[Enterococcus]]
* [[Escherichia coli]]
* [[Klebsiella pneumoniae]]
* [[Bacteroides fragilis]]
* [[Candida albicans]]
* [[Entamoeba histolytica]]
|
|
* [[Pseudomonas aeruginosa]]
* [[Staphylococcus aureus]]
* [[Proteus]]
* [[Clostridium perfringens]]
* [[Candida tropicalis]]
| --
|-
| colspan="2" |Appendicular abscess
|
* [[Enterococcus]]
* [[Escherichia coli]]
* [[Staphylococcus aureus]]
* [[Bacteroides fragilis]]
* [[Clostridium perfringens]]
|
* [[Klebsiella pneumoniae]]
* [[Pseudomonas aeruginosa]]
* [[Proteus]]
| --
|-
| colspan="2" |Colonic abscess
|
|
* [[Enterococcus]]
* [[Escherichia coli]]
* [[Staphylococcus aureus]]
* [[Bacteroides fragilis]]
* [[Clostridium perfringens|Clostridium perfringen]]
|
|
* [[Klebsiella pneumoniae]]
* [[Pseudomonas aeruginosa]]
* [[Proteus]]
| --
|-
|-
| colspan="2" |Anal abscess
|
|
* [[E.coli]]
* [[Staphylococcus aureus]]
* [[MRSA]]
| --
| --
|-
| colspan="2" |Cutaneous abscess
|
|
* [[Staphylococcus aureus|S. aureus]] (either [[S. aureus|methicillin-susceptible]] or [[Methicillin-resistant staphylococcus aureus|methicillin-resistant S. aureus]])
* Mixed flora (including [[Staphylococcus aureus|S. aureus]] together with [[Streptococcus pyogenes|S. pyogenes]] and [[gram-negative bacilli]] with [[anaerobes]])
* [[Anaerobes]]
|
|
* [[Nontuberculous mycobacteria]]
* [[Blastomycosis]]
* [[Nocardiosis]]
* [[Cryptococcosis]]
|
|
|}
|}

Revision as of 16:06, 27 April 2017

Abscess Main page

Patient Information

Overview

Causes

Classification

Anal Abscess
Appendicular Abscess
Brain Abscess
Breast Abscess
Colon Abscess
Cutaneous Abscess
Liver Abscess
Lung Abscess
Pancreatic Abscess
Retropharyngeal Abscess
Splenic Abscess
Tonsillar and Peritonsillar Abscess

Differential Diagnosis

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]:Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Causes

Abscesses are caused by many different pathogens based on their anatomical location. The following table summarizes pathogenic causes of abscesses.[1][2][3][4][5][6][7][1][8][9][10]

Anatomical location Common causes Less common causes Comments
Brain abscess
  • Causes of brain abscess depends on the source of infection.
  • To see a complete list of brain abscesses's causes, click here.
Tonsillar and peritonsillar abscess --
Retropharyngeal abscess
  • Retropharyngeal abscess are usually caused by polymicrobial flora.
  • To see a complete list of retropharyngeal abscess' causes, click here.
Lung Abscess
Breast Abscess --
Liver abscess Pyogenic To see a complete list of pyogenic liver abscess' causes, click here.
Amoebic -- --
Fungal -- --
Splenic abscess To see a complete list of splenic abscess' causes, click here.
Pancreatic abscess --
Appendicular abscess --
Colonic abscess --
Anal abscess -- --
Cutaneous abscess

Classification

Differential diagnosis

References

  1. 1.0 1.1 Brook I (2004). "Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses". J Oral Maxillofac Surg. 62 (12): 1545–50. PMID 15573356.
  2. Megalamani SB, Suria G, Manickam U, Balasubramanian D, Jothimahalingam S (2008). "Changing trends in bacteriology of peritonsillar abscess". J Laryngol Otol. 122 (9): 928–30. doi:10.1017/S0022215107001144. PMID 18039418.
  3. Snow DG, Campbell JB, Morgan DW (1991). "The microbiology of peritonsillar sepsis". J Laryngol Otol. 105 (7): 553–5. PMID 1875138.
  4. Matsuda A, Tanaka H, Kanaya T, Kamata K, Hasegawa M (2002). "Peritonsillar abscess: a study of 724 cases in Japan". Ear Nose Throat J. 81 (6): 384–9. PMID 12092281.
  5. Asmar BI (1990). "Bacteriology of retropharyngeal abscess in children". Pediatr Infect Dis J. 9 (8): 595–7. PMID 2235179.
  6. McClay JE, Murray AD, Booth T (2003). "Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography". Arch Otolaryngol Head Neck Surg. 129 (11): 1207–12. doi:10.1001/archotol.129.11.1207. PMID 14623752.
  7. Wright CT, Stocks RM, Armstrong DL, Arnold SR, Gould HJ (2008). "Pediatric mediastinitis as a complication of methicillin-resistant Staphylococcus aureus retropharyngeal abscess". Arch Otolaryngol Head Neck Surg. 134 (4): 408–13. doi:10.1001/archotol.134.4.408. PMID 18427007.
  8. Inman JC, Rowe M, Ghostine M, Fleck T (2008). "Pediatric neck abscesses: changing organisms and empiric therapies". Laryngoscope. 118 (12): 2111–4. doi:10.1097/MLG.0b013e318182a4fb. PMID 18948832.
  9. Abdel-Haq N, Quezada M, Asmar BI (2012). "Retropharyngeal abscess in children: the rising incidence of methicillin-resistant Staphylococcus aureus". Pediatr Infect Dis J. 31 (7): 696–9. doi:10.1097/INF.0b013e318256fff0. PMID 22481424.
  10. Cheng J, Elden L (2013). "Children with deep space neck infections: our experience with 178 children". Otolaryngol Head Neck Surg. 148 (6): 1037–42. doi:10.1177/0194599813482292. PMID 23520072.
  11. Cesar L, Gonzalez C, Calia FM (1975). "Bacteriologic flora of aspiration-induced pulmonary infections". Arch. Intern. Med. 135 (5): 711–4. PMID 28705.
  12. Bartlett JG (2012). "Anaerobic bacterial infection of the lung". Anaerobe. 18 (2): 235–9. doi:10.1016/j.anaerobe.2011.12.004. PMID 22209937.
  13. Wang JL, Chen KY, Fang CT, Hsueh PR, Yang PC, Chang SC (2005). "Changing bacteriology of adult community-acquired lung abscess in Taiwan: Klebsiella pneumoniae versus anaerobes". Clin. Infect. Dis. 40 (7): 915–22. doi:10.1086/428574. PMID 15824979.