Peritonsillar abscess: Difference between revisions

Latest revision as of 15:46, 12 August 2020

Acute management may require airway protection
Incision and drainage, sent for culture
Antibiotics covering anaerobes, such as piperacillin-tazobactam or ampicillin-sulbactam
- Alternatives include clindamycin

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+==Background==
-= Peritonsillar abscess =
+* Abscess between the capsule of the tonsil and the pharyngeal musculature
-== Epidemiology ==
+* Also known as a quinsy
+=== Microbiology ===
-* All age groups
+* Oral flora (i.e. [[streptococci]], [[staphylococci]], and [[anaerobes]])
-== Presentation ==
-=== History ===
+===Epidemiology===
+*All age groups
-* Fever
-* Malaise
-* Sore throat
-* Dysphagia
-* Ipsilateral ear pain
+==Clinical Manifestations==
-=== Signs &amp; Symptoms ===
+*Fever, malaise, sore throat, dysphagia
-* Trismus
+*May have ipsilateral ear pain
-* Drooling
+*Trismus, drooling
-* Hot potato voice
+*Hot potato voice
-* Cervical lymphadenopathy
+*Cervical lymphadenopathy
-* Uvula displaced
+*Displaced uvula
+*Complications include [[Lemierre syndrome]]
-== Management ==
+==Management==
+*Acute management may require airway protection
-* Drainage
+*Incision and drainage, sent for culture
-* Antibiotics covering anaerobes
+*Antibiotics covering anaerobes, such as [[Is treated by::piperacillin-tazobactam]] or [[Is treated by::ampicillin-sulbactam]]
+**Alternatives include [[clindamycin]]
+[[Category:Head and neck infections]]