1887
Volume 2015, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Intratonsillar abscesses are not uncommon. The reported incidence of unilateral tonsillar abscess is 5 percent. There have not been any cases of bilateral tonsillar involvement previously reported. The clinical presentation of intratonsillar abscess are similar to peritonsillar abscess. Negative aspiration of pus from a case of intratonsillar abscess presumed to be peritonsillar abscess can lead to misdiagnosis and subsequent delay in treatment. We report a case of a 42-year-old diabetic patient with odynophagia, dysphagia, voice change, stridor and fever for a duration of four days. CT scan was performed in view of trismus and neck swelling as the initial provisional diagnosis of deep neck abscesses was made. The CT scan showed bilateral intratonsillar abscesses without involvement of other neck spaces. ‘Hot’ tonsillectomy was immediately performed after which the patient recovered well. Although uncommon, a high index of suspicion is required to diagnose intratonsillar abscess, especially in patient groups with high-risk factor e.g., diabetes mellitus with severe clinical complications.

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2015-07-03
2024-03-28
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References

  1. Michaels L. Ear, nose and throat histopathology. 1st ed. London: Springer-Verlag 1987.
    [Google Scholar]
  2. Childs EW, Baugh RF, Diaz JA. Tonsillar abscess. J Natl Med Assoc. 1991; 83:4:333336.
    [Google Scholar]
  3. Gan EC. Intratonsillar abscess: a rare cause for a common clinical presentation. Ear Nose Throat J. 2008; 87:12.
    [Google Scholar]
  4. Marchal F, Dulguerov P, Lehmann W. Peritonsillar Abscess. Emergency tonsillectomy? Ann Otolaryngol Chir Cervicofac. 1995; 112:8:393398.
    [Google Scholar]
  5. Dalton RE. Bilateral Peritonsillar Abscesses and Quinsy Tonsillectomy. J Natl Med Assoc. 1985; 77:10:807812.
    [Google Scholar]
  6. Loganathan A, Arumainathan UD, Raman R. Comparative study of bacteriology in recurrent tonsillitis among children and adults. Singapore Med J. 2006; 47:4:271275.
    [Google Scholar]
  7. Brook I, Foote PA. Isolation of methicillin resistant Staphylococcus aureus from the surface and core of tonsils in children. Int J Pediatr Otorhinolaryngol. 2006; 70:12:20992102.
    [Google Scholar]
  8. Charlebois ED, Bangsberg DR, Moss NJ, Moore MR, Moss AR, Chambers HF, Perdreau-Remington F. Population-based community prevalence of methicillin-resistant Staphylococcus aureus in the urban poor of San Francisco. Clin Infect Dis. 2002; 34:4:425433.
    [Google Scholar]
  9. Wang AS, Stater BJ, Kacker A. Intratonsillar abscess: 3 case reports and a review of the literature. Int J Pediatr Otorhinolaryngol. 2013; 77:4:605607.
    [Google Scholar]
  10. Hsu CH, Lin YS, Lee JC. Intratonsillar abscess. Otolaryngology - Head and Neck Surgery. 2008; 139:6:861862.
    [Google Scholar]
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