Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat
Introduction. Peritonsillar abscess is considered a suppurative complication of acute tonsillitis. It is usually unilateral and clinically evident bilateral presentation is uncommon. The condition affects mainly children older than 10 years and young adults. Herein we present a rare case of bilatera...
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Wiley
2017-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2017/4670152 |
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| author | Mariana Manzoni Seerig Letícia Chueiri Janaina Jacques Maria Fernanda Piccoli Cardoso de Mello Martin Batista Coutinho da Silva Daniel Buffon Zatt Rosana Cristine Otero Cunha Andre Souza de Albuquerque Maranhão |
| author_facet | Mariana Manzoni Seerig Letícia Chueiri Janaina Jacques Maria Fernanda Piccoli Cardoso de Mello Martin Batista Coutinho da Silva Daniel Buffon Zatt Rosana Cristine Otero Cunha Andre Souza de Albuquerque Maranhão |
| author_sort | Mariana Manzoni Seerig |
| collection | DOAJ |
| description | Introduction. Peritonsillar abscess is considered a suppurative complication of acute tonsillitis. It is usually unilateral and clinically evident bilateral presentation is uncommon. The condition affects mainly children older than 10 years and young adults. Herein we present a rare case of bilateral peritonsillar abscess in an infant. Presentation of Case. A 1-year-old boy presented with a two-day history of worsening sore throat, loss of appetite, vomiting, and fever. Examination of the oral cavity and oropharynx revealed enlarged and inflamed tonsils and a bilaterally congested and bulging soft palate. CT scan confirmed the hypothesis of bilateral peritonsillar abscess. Antibiotic therapy was instituted and after 5 days only slight regression of swelling of the soft palate was observed. He underwent a surgical procedure for draining the abscesses. After the procedure, he presented good clinical and laboratory evolution and was discharged home. Discussion. Although peritonsillar abscesses are considered common complications of acute tonsillitis bilateral cases are extremely rare, especially in early childhood. The diagnosis is based on history and physical examination and the treatment remains controversial among otolaryngologists. Conclusion. Bilateral peritonsillar abscess should be diagnosed and treated promptly and adequately to prevent respiratory obstruction and to avoid dissemination into the deep neck spaces. |
| format | Article |
| id | doaj-art-ae5c8df66a06424fb86906ee7308b0fe |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-ae5c8df66a06424fb86906ee7308b0fe2025-02-03T07:25:05ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/46701524670152Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore ThroatMariana Manzoni Seerig0Letícia Chueiri1Janaina Jacques2Maria Fernanda Piccoli Cardoso de Mello3Martin Batista Coutinho da Silva4Daniel Buffon Zatt5Rosana Cristine Otero Cunha6Andre Souza de Albuquerque Maranhão7Department of Otolaryngology, Hospital Infantil Joana de Gusmão and Hospital Governador Celso Ramos, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão and Hospital Governador Celso Ramos, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão and Hospital Governador Celso Ramos, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão and Hospital Governador Celso Ramos, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão and Hospital Governador Celso Ramos, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão and Hospital Governador Celso Ramos, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilDepartment of Otolaryngology, Hospital Infantil Joana de Gusmão, 152 Rui Barbosa St., 88025-301 Florianópolis, SC, BrazilIntroduction. Peritonsillar abscess is considered a suppurative complication of acute tonsillitis. It is usually unilateral and clinically evident bilateral presentation is uncommon. The condition affects mainly children older than 10 years and young adults. Herein we present a rare case of bilateral peritonsillar abscess in an infant. Presentation of Case. A 1-year-old boy presented with a two-day history of worsening sore throat, loss of appetite, vomiting, and fever. Examination of the oral cavity and oropharynx revealed enlarged and inflamed tonsils and a bilaterally congested and bulging soft palate. CT scan confirmed the hypothesis of bilateral peritonsillar abscess. Antibiotic therapy was instituted and after 5 days only slight regression of swelling of the soft palate was observed. He underwent a surgical procedure for draining the abscesses. After the procedure, he presented good clinical and laboratory evolution and was discharged home. Discussion. Although peritonsillar abscesses are considered common complications of acute tonsillitis bilateral cases are extremely rare, especially in early childhood. The diagnosis is based on history and physical examination and the treatment remains controversial among otolaryngologists. Conclusion. Bilateral peritonsillar abscess should be diagnosed and treated promptly and adequately to prevent respiratory obstruction and to avoid dissemination into the deep neck spaces.http://dx.doi.org/10.1155/2017/4670152 |
| spellingShingle | Mariana Manzoni Seerig Letícia Chueiri Janaina Jacques Maria Fernanda Piccoli Cardoso de Mello Martin Batista Coutinho da Silva Daniel Buffon Zatt Rosana Cristine Otero Cunha Andre Souza de Albuquerque Maranhão Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat Case Reports in Otolaryngology |
| title | Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat |
| title_full | Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat |
| title_fullStr | Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat |
| title_full_unstemmed | Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat |
| title_short | Bilateral Peritonsillar Abscess in an Infant: An Unusual Presentation of Sore Throat |
| title_sort | bilateral peritonsillar abscess in an infant an unusual presentation of sore throat |
| url | http://dx.doi.org/10.1155/2017/4670152 |
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