Peritonsillar abscess: Difference between revisions
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| + | ==Background== |
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| + | * Abscess between the capsule of the tonsil and the pharyngeal musculature |
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| + | * Also known as a quinsy |
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| + | === Microbiology === |
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| − | = Presentation = |
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| + | * Oral flora (i.e. [[streptococci]], [[staphylococci]], and [[anaerobes]]) |
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| − | == History == |
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| − | * 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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| − | == Signs & Symptoms == |
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| + | ==Clinical Manifestations== |
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| − | * Trismus |
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| − | * Drooling |
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| − | * Uvula displaced |
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| + | *Fever, malaise, sore throat, dysphagia |
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| + | *May have ipsilateral ear pain |
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| + | *Trismus, drooling |
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| + | *Displaced uvula |
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| + | *Complications include [[Lemierre syndrome]] |
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| − | * Drainage |
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| − | * Antibiotics covering anaerobes |
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| + | *Acute management may require airway protection |
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| + | *Incision and drainage, sent for culture |
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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]] |
[[Category:Head and neck infections]] |
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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
