{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T23:46:28Z","timestamp":1776815188955,"version":"3.51.2"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,11,23]],"date-time":"2014-11-23T00:00:00Z","timestamp":1416700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Pus of peritonsillar abscess (<jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content>) contains very high amylase levels in some patients. The objective of this study was to further test this finding and to check whether high amylase levels in peritonsillar abscess originate from contamination by saliva during aspiration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>The study includes 64 patients with <jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content>, 8 patients with a neck abscess and 12 patients with a dental abscess.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measure<\/jats:title><jats:p>Amylase levels of pus and serum were compared between the groups. Clinical data regarding hospitalisation length, recurrence rate and previous antibiotic treatment were also collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean amylase levels in the pus of the <jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content> group were 3045 U\/L (median 59 U\/L), 13 U\/L in the neck abscess group (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001) and 22 U\/L in the dental abscess group (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001). Mean serum amylase was higher in the <jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content> group; <jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content> \u2013 50 U\/L, neck abscess \u2013 37 U\/L (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002) and dental abscess \u2013 26 U\/L (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.002). All of the patients with amylase levels above 65 U\/L had a first episode of <jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content>. In contrast, 40% of patients with amylase lower than 65 U\/L had recurrent <jats:styled-content style=\"fixed-case\">PTA<\/jats:styled-content> (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A clear association is seen between minor salivary glands and peritonsillar abscess. The high amylase level in peritonsillar pus is not from contamination with saliva.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12298","type":"journal-article","created":{"date-parts":[[2014,8,13]],"date-time":"2014-08-13T20:23:19Z","timestamp":1407961399000},"page":"359-361","source":"Crossref","is-referenced-by-count":10,"title":["A comparison between amylase levels from peritonsillar, dental and neck abscesses"],"prefix":"10.1111","volume":"39","author":[{"given":"S.","family":"El\u2010Saied","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Soroka University Medical Center Beer\u2010Sheva Israel"},{"name":"Faculty of Health Sciences Clinical Research Center Ben\u2010Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.M.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Soroka University Medical Center Beer\u2010Sheva Israel"},{"name":"Faculty of Health Sciences Clinical Research Center Ben\u2010Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Zlotnik","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Clinical Research Center Ben\u2010Gurion University of the Negev Beer\u2010Sheva Israel"},{"name":"Department of Anesthesiology Soroka University Medical Center Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Abu Tailakh","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Clinical Research Center Ben\u2010Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kordeluk","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Soroka University Medical Center Beer\u2010Sheva Israel"},{"name":"Faculty of Health Sciences Clinical Research Center Ben\u2010Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.\u2010Z.","family":"Joshua","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Soroka University Medical Center Beer\u2010Sheva Israel"},{"name":"Faculty of Health Sciences Clinical Research Center Ben\u2010Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-010-1114-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-006-0059-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2003.12.043"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811415802"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2008.12.003"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.04.021"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199402000-00011"},{"key":"e_1_2_8_9_1","first-page":"371","article-title":"Distribution of minor salivary glands in the peritonsillar space","volume":"84","author":"Kraitrakul S.","year":"2001","journal-title":"J. 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