Peritonsillar abscess: Difference between revisions

Jump to navigation Jump to search
Line 40: Line 40:
:*[[Odynophagia]]
:*[[Odynophagia]]
:*[[Otalgia]] (on the side of the abscess)
:*[[Otalgia]] (on the side of the abscess)
:*[[Sore throat]] ( may be severe and unilateral)<ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref>
:*[[Sore throat]] ( may be severe and unilateral)
:*[[Stridor]]<ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref>


==Physical Examination==
==Physical Examination==

Revision as of 18:06, 30 April 2015

Peritonsillar abscess
ICD-10 J36
ICD-9 475
DiseasesDB 11141
eMedicine emerg/417 


WikiDoc Resources for Peritonsillar abscess

Articles

Most recent articles on Peritonsillar abscess

Most cited articles on Peritonsillar abscess

Review articles on Peritonsillar abscess

Articles on Peritonsillar abscess in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Peritonsillar abscess

Images of Peritonsillar abscess

Photos of Peritonsillar abscess

Podcasts & MP3s on Peritonsillar abscess

Videos on Peritonsillar abscess

Evidence Based Medicine

Cochrane Collaboration on Peritonsillar abscess

Bandolier on Peritonsillar abscess

TRIP on Peritonsillar abscess

Clinical Trials

Ongoing Trials on Peritonsillar abscess at Clinical Trials.gov

Trial results on Peritonsillar abscess

Clinical Trials on Peritonsillar abscess at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Peritonsillar abscess

NICE Guidance on Peritonsillar abscess

NHS PRODIGY Guidance

FDA on Peritonsillar abscess

CDC on Peritonsillar abscess

Books

Books on Peritonsillar abscess

News

Peritonsillar abscess in the news

Be alerted to news on Peritonsillar abscess

News trends on Peritonsillar abscess

Commentary

Blogs on Peritonsillar abscess

Definitions

Definitions of Peritonsillar abscess

Patient Resources / Community

Patient resources on Peritonsillar abscess

Discussion groups on Peritonsillar abscess

Patient Handouts on Peritonsillar abscess

Directions to Hospitals Treating Peritonsillar abscess

Risk calculators and risk factors for Peritonsillar abscess

Healthcare Provider Resources

Symptoms of Peritonsillar abscess

Causes & Risk Factors for Peritonsillar abscess

Diagnostic studies for Peritonsillar abscess

Treatment of Peritonsillar abscess

Continuing Medical Education (CME)

CME Programs on Peritonsillar abscess

International

Peritonsillar abscess en Espanol

Peritonsillar abscess en Francais

Business

Peritonsillar abscess in the Marketplace

Patents on Peritonsillar abscess

Experimental / Informatics

List of terms related to Peritonsillar abscess

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Kiran Singh, M.D. [2]

Overview

Peritonsillar abscess, also called PTA or Quinsy, is a recognised complication of tonsillitis and consists of a collection of pus beside the tonsil (peritonsillar space).

Causes

PTA usually arises as a complication of an untreated or partially treated episode of acute tonsillitis. The infection, in these cases, spreads to the peritonsillar area (peritonsillitis). This region comprises loose connective tissue and is hence susceptible to formation of abscess. PTA can also occur de novo. Both aerobic and anaerobic bacteria can be causative. Commonly involved species include streptococci, staphylococci and haemophilus.

Symptoms

  • Unlike tonsillitis, which is more common in the pediatric age group, PTA has a more even age spread — from children to adults.
  • Symptoms start appearing 2-8 days before the formation of abscess. Common symptoms are:

Physical Examination

Signs

  • Contralateral deflection of the uvula
  • Facial swelling
  • Tender submandibular and anterior cervical lymph nodes.
  • Tonsillar hypertrophy with likely peritonsillar edema.
  • Trismus[2]


Treatment

Treatment is, as for all abscesses, through surgical incision and drainage of the pus, thereby relieving the pain of the stretched tissues. The drainage can often be achieved in the Outpatient Department using a guarded No. 11 blade in an awake and co-operative patient. Sometimes, a needle aspiration can suffice. Antibiotics are also given to treat the infection.

Peritonsillar abscesses are widely considered one of the most painful complications, primarily the surgical draining of the abscess itself. The patient is operated on awake, surgically slicing open the tonsil and draining the abscess.

Complications

  • Parapharyngeal abscess
  • Extension of abscess in other deep neck spaces leading to airway compromise
  • Septicaemia

Notable Quinsy sufferers

  • George Washington is believed to have died of complications arising from Quinsy.[3]
  • Michel de Montaigne's quinsy brought about the paralysis of his tongue.
  • Georges Bizet
  • James Gregory of the band The Ordinary Boys was almost killed by quinsy because it was left untreated
  • Brian Sweeney
  • Alan Burrows

References

  1. Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
  2. Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
  3. Mount Vernon Plantation (2006). "Part 4. President and Back Home". Meet George Washington. Mount Vernon Ladies Association. Unknown parameter |accessyear= ignored (|access-date= suggested) (help)

External links

Template:Respiratory pathology

ka:პერიტონზილური აბსცესი nl:Peritonsillair abces fi:Kurkkupaise


Template:WikiDoc Sources