Peritonsillar abscess: Difference between revisions
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+ | ==Background== |
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− | = Peritonsillar abscess = |
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+ | * Abscess between the capsule of the tonsil and the pharyngeal musculature |
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− | == Epidemiology == |
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+ | * Also known as a quinsy |
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+ | === Microbiology === |
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⚫ | |||
+ | * Oral flora (i.e. [[streptococci]], [[staphylococci]], and [[anaerobes]]) |
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− | == Presentation == |
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− | === |
+ | ===Epidemiology=== |
⚫ | |||
− | * Fever |
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− | * Malaise |
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− | * Sore throat |
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− | * Dysphagia |
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− | * Ipsilateral ear pain |
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+ | ==Clinical Manifestations== |
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− | === Signs & Symptoms === |
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+ | *Fever, malaise, sore throat, dysphagia |
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− | * Trismus |
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+ | *May have ipsilateral ear pain |
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− | * Drooling |
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+ | *Trismus, drooling |
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− | * |
+ | *Hot potato voice |
− | * |
+ | *Cervical lymphadenopathy |
− | * Uvula displaced |
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+ | *Displaced uvula |
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+ | *Complications include [[Lemierre syndrome]] |
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− | == |
+ | ==Management== |
+ | *Acute management may require airway protection |
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− | * Drainage |
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+ | *Incision and drainage, sent for culture |
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− | * Antibiotics covering anaerobes |
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+ | *Antibiotics covering anaerobes, such as [[Is treated by::piperacillin-tazobactam]] or [[Is treated by::ampicillin-sulbactam]] |
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+ | **Alternatives include [[clindamycin]] |
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+ | |||
+ | [[Category:Head and neck infections]] |
Latest revision as of 11:46, 12 August 2020
Background
- Abscess between the capsule of the tonsil and the pharyngeal musculature
- Also known as a quinsy
Microbiology
- Oral flora (i.e. streptococci, staphylococci, and anaerobes)
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
- 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