However, if antibiotic treatment does not manage the infection, surgical drainage is required. Symptoms or indications requiring drainage include continued fever, high white blood cell count, and continuing signs of localized inflammation.[4] The draining procedure is also based on clinical examination or ultrasound/CT scan results that indicate an abscess or gas formation.[4] Another treatment of AIT involves surgically removing the fistula. This treatment is often the option recommended for children.[2] However, in cases of an antibiotic resistant infection or necrotic tissue, a lobectomy is recommended.[4] If diagnosis and/or treatment is delayed, the disease could prove fatal.[3]