Bilateral peritonsillar abscess

Case contributed by Dr Mauricio Macagnan

Presentation

Pain and swelling in the neck a week ago. Fever. No trauma.

Patient Data

Age: 29
Gender: Female
Modality: CT

It is observed volume increase in both tonsils, and two collections are identified, with hypodense centres and highlighted walls after intravenous contrast, associated with inflammatory changes in adipose tissue of parapharyngeal space bilaterally. Reactive lymph nodes were identified in both anterior cervical lymph node.

Case Discussion

The peritonsillar abscess is a relatively common complication of tonsillitis.

Treatment with antibiotics is an option, but in the vast majority surgical drainage is recommended.

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Case Information

rID: 45642
Case created: 2nd Jun 2016
Last edited: 3rd Nov 2016
System: Head & Neck
Inclusion in quiz mode: Included

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