title: Atypical bacteria in adenoids and tonsils of children requiring adenotonsillectomy.
abstract: CONCLUSIONS
  The results of this study suggest that atypical bacteria may be involved not only in acute upper airway diseases but also in recurrent infections requiring adenoidectomy and/or tonsillectomy. Therefore, their identification, followed by an appropriate treatment, should be considered.
  
  
  OBJECTIVE
  Although viruses and group A beta-haemolytic streptococci (GABHS) represent the most frequent bacterial aetiological agents of paediatric upper respiratory tract infections (URTIs), chlamydia and Mycoplasma pneumoniae have also been found in acute tonsillopharyngitis. Nevertheless their relevance in chronic or recurrent URTI has never been evaluated. This study aimed to further address the role of atypical bacteria in recurrent URTIs requiring adenoidectomy and tonsillectomy.
  
  
  METHODS
  Samples from 55 consecutive children who underwent adenoidectomy and/or tonsillectomy for recurrent or chronic URTI were cut transversely into smaller sections of 5 mm. Each section was pooled and assayed by specific PCR for viruses and bacteria.
  
  
  RESULTS
  Adenovirus was detected in 10 patients (18.2%), influenza A virus in one patient and influenza B virus in another. None of the other tested viruses was found. GABHS was found in 37 patients (67.3%). Moraxella catarrhalis and Haemophilus influenzae were detected in 30 patients (54.5%). M. pneumoniae was detected in 6 patients (10.9%) and C. pneumoniae was found in 10 patients (18.2%).
authors: Clinica Pediatrica, Università di Verona, Verona, Italy. giorgio.piacentini@univr.it
authors: Giorgio L
authors: GL
authors: Piacentini
authors: Diego G
authors: DG
authors: Peroni
authors: Francesco
authors: F
authors: Blasi
authors: Lydia
authors: L
authors: Pescollderungg
authors: Paul
authors: P
authors: Goller
authors: Lorenz
authors: L
authors: Gallmetzer
authors: Lorenzo
authors: L
authors: Drago
authors: Alessandro
authors: A
authors: Bodini
authors: Attilio L
authors: AL
authors: Boner
mesh_terms: D000233:Adenoidectomy; D000234:Adenoids / Q000382:microbiology* / Q000601:surgery / Q000821:virology; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D014066:Palatine Tonsil / Q000382:microbiology* / Q000601:surgery / Q000821:virology; D012008:Recurrence; D014068:Tonsillectomy; D014069:Tonsillitis / Q000382:microbiology* / Q000601:surgery / Q000821:virology