Peritonsillar abscess: Difference between revisions

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== Epidemiology ==
==Background==


* Abscess between the capsule of the tonsil and the pharyngeal musculature
* All age groups
* Also known as a quinsy


== Presentation ==
=== Microbiology ===


* Oral flora (i.e. [[streptococci]], [[staphylococci]], and [[anaerobes]])
=== History ===


===Epidemiology===
* Fever
* Malaise
* Sore throat
* Dysphagia
* Ipsilateral ear pain


*All age groups
=== Signs & Symptoms ===


==Clinical Manifestations==
* Trismus
* Drooling
* Hot potato voice
* Cervical lymphadenopathy
* Uvula displaced


*Fever, malaise, sore throat, dysphagia
== Management ==
*May have ipsilateral ear pain
*Trismus, drooling
*Hot potato voice
*Cervical lymphadenopathy
*Displaced uvula
*Complications include [[Lemierre syndrome]]


==Management==
* Drainage

* Antibiotics covering anaerobes
*Acute management may require airway protection
*Incision and drainage, sent for culture
*Antibiotics covering anaerobes, such as [[Is treated by::piperacillin-tazobactam]] or [[Is treated by::ampicillin-sulbactam]]
**Alternatives include [[clindamycin]]


[[Category:Head and neck infections]]
[[Category:Head and neck infections]]

Latest revision as of 15:46, 12 August 2020

Background

  • Abscess between the capsule of the tonsil and the pharyngeal musculature
  • Also known as a quinsy

Microbiology

Epidemiology

  • All age groups

Clinical Manifestations

  • Fever, malaise, sore throat, dysphagia
  • May have ipsilateral ear pain
  • Trismus, drooling
  • Hot potato voice
  • Cervical lymphadenopathy
  • Displaced uvula
  • Complications include Lemierre syndrome

Management