Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment
Although unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis, bilateral peritonsillar abscesses are quite rare. The incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%, while the ov...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/981924 |
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| author | G. X. Papacharalampous P. V. Vlastarakos G. Kotsis D. Davilis L. Manolopoulos |
| author_facet | G. X. Papacharalampous P. V. Vlastarakos G. Kotsis D. Davilis L. Manolopoulos |
| author_sort | G. X. Papacharalampous |
| collection | DOAJ |
| description | Although unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis, bilateral peritonsillar abscesses are quite rare. The incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%, while the overall incidence of bilateral peritonsillar abscess is reported to reach 4.9%. Diagnosis can be based on clinical criteria or imaging techniques. As far as the treatment is concerned, it is generally accepted that the basic strategy consists of systemic antibiotics and drainage of the pus. We report the case of a 19-year-old girl, treated in the emergency room with a bilateral diagnostic needle aspiration followed by bilateral incision and drainage along with intravenous clindamycin plus anti-inflammatory agents and hydration. Following treatment, the patient progressively experienced a marked alleviation of her odynophagia. She was discharged 48 hours later on a 10-day course of clindamycin. |
| format | Article |
| id | doaj-art-26bde354824e4d319431ce543eacf1fc |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-26bde354824e4d319431ce543eacf1fc2025-02-03T00:59:44ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/981924981924Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and TreatmentG. X. Papacharalampous0P. V. Vlastarakos1G. Kotsis2D. Davilis3L. Manolopoulos4ENT Department, Elpis General Hospital, 11522 Athens, GreeceENT Department, Lister Hospital, 64 Morecambe Close, Stevenage, Hertfordshire SG1 2BF, UKENT Department, Elpis General Hospital, 11522 Athens, GreeceENT Department, Elpis General Hospital, 11522 Athens, GreeceENT Department, University of Athens, Hippokration General Hospital, 11527 Athens, GreeceAlthough unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis, bilateral peritonsillar abscesses are quite rare. The incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%, while the overall incidence of bilateral peritonsillar abscess is reported to reach 4.9%. Diagnosis can be based on clinical criteria or imaging techniques. As far as the treatment is concerned, it is generally accepted that the basic strategy consists of systemic antibiotics and drainage of the pus. We report the case of a 19-year-old girl, treated in the emergency room with a bilateral diagnostic needle aspiration followed by bilateral incision and drainage along with intravenous clindamycin plus anti-inflammatory agents and hydration. Following treatment, the patient progressively experienced a marked alleviation of her odynophagia. She was discharged 48 hours later on a 10-day course of clindamycin.http://dx.doi.org/10.1155/2011/981924 |
| spellingShingle | G. X. Papacharalampous P. V. Vlastarakos G. Kotsis D. Davilis L. Manolopoulos Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment Case Reports in Medicine |
| title | Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment |
| title_full | Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment |
| title_fullStr | Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment |
| title_full_unstemmed | Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment |
| title_short | Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment |
| title_sort | bilateral peritonsillar abscesses a case presentation and review of the current literature with regard to the controversies in diagnosis and treatment |
| url | http://dx.doi.org/10.1155/2011/981924 |
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