Peritonsillar abscess

Peritonsillar abscess
Other namesQuinsy, quinsey
Right sided peritonsillar abscess
SpecialtyOtorhinolaryngology
SymptomsFever, throat pain, trouble opening the mouth, change to the voice[1]
ComplicationsBlockage of the airway, aspiration pneumonitis[1]
CausesMultiple types of bacteria[1]
Risk factorsStreptococcal pharyngitis[1]
Diagnostic methodBased on the symptoms[1]
Differential diagnosisRetropharyngeal abscess, infectious mononucleosis, epiglottitis, cancer[1]
TreatmentRemove pus, antibiotics, fluids, pain medication, steroids[1]
Frequency~3 per 10,000 per year (USA)[1]

Peritonsillar abscess (PTA), also known as quinsy, is an accumulation of pus due to an infection behind the tonsil.[2] Symptoms include fever, throat pain, trouble opening the mouth, and a change to the voice.[1] Pain is usually worse on one side.[1] Complications may include blockage of the airway or aspiration pneumonitis.[1]

PTA is typically due to infection by a number of types of bacteria.[1] Often it follows streptococcal pharyngitis.[1] They do not typically occur in those who have had a tonsillectomy.[1] Diagnosis is usually based on the symptoms.[1] Medical imaging may be done to rule out complications.[1]

Treatment is by removing the pus, antibiotics, sufficient fluids, and pain medication.[1] Steroids may also be useful.[1] Admission to hospital is generally not needed.[1] In the United States about 3 per 10,000 people per year are affected.[1] Young adults are most commonly affected.[1]

  1. ^ a b c d e f g h i j k l m n o p q r s t u Galioto NJ (April 2017). "Peritonsillar Abscess". American Family Physician. 95 (8): 501–506. PMID 28409615.
  2. ^ "Tonsillar Cellulitis and Tonsillar Abscess - Ear, Nose, and Throat Disorders - Merck Manuals Consumer Version". Merck Manuals Consumer Version. Archived from the original on 25 October 2017. Retrieved 24 October 2017.

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