Bilateral peritonsillar abscess: a case study and literature review

Author:

Alsubaie Hemail M1,Alsmadi Maisa B2,Aljuaid Eidah F2

Affiliation:

1. Otorhinolaryngology Department, King Abdullah Medical City, Makkah, Saudi Arabia

2. Otorhinolaryngology Department, Alhada Armed Forces Hospital, Taif, Saudi Arabia

Abstract

Abstract While peritonsillar abscesses are the most common deep neck infections, bilateral forms are rare. A peritonsillar abscess occurs when pus accumulates in the peritonsillar space, located between the tonsils and superior constrictor muscle, causing medial displacement of the uvula, trismus, odynophagia or even upper airway obstruction. High clinical suspicion is needed to diagnose bilateral peritonsillar abscess due to frequent history, computerized tomography scan of the neck with IV contrast facilitates accurate diagnose and a full assessment of the patient. Incision and drainage are needed to evacuate the pus along with systemic antibiotics to relieve patient symptoms followed by interval tonsillectomy, which usually done after 6 weeks.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Bilateral peritonsillar abscesses: not your usual sore throat;Fasano;J Emerg Med,2005

2. Bilateral peritonsillar abscesses and quinsy tonsillectomy;Dalton;J Natl Med Assoc,2006

3. A retrospective study of peritonsillar abscess in Riyadh medical complex [corrected];Aldakhail;Saudi Med J,2006

4. Bilateral peritonsillar abscesses: a case presentation and review of the current literature with regard to the controversies in diagnosis and treatment;Papacharalampous;Case Rep Med,2011

5. Bilateral peritonsillar abscesses complicating acute tonsillitis;Lin;CMAJ,2011

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