Peritonsillar Abscess Drainage - Viewer Discretion Is Advised

Peritonsillar abscess is a collection of infected material in the area around the tonsils. Causes, incidence, and risk factors Peritonsillar abscess is a complication of tonsillitis. It is most often caused by a type of bacteria called group A beta-hemolytic streptococcus. Peritonsillar abscess is usually a disease of older children, adolescents, and young adults. It has become uncommon with the use of antibiotics to treat tonsillitis. Symptoms One or both tonsils become infected. The infection may spread over the roof of the mouth (palate), and to the neck and chest, including the lungs. Swollen tissues may block the airway, which is a life-threatening medical emergency. The abscess can break open (rupture) into the throat, infecting or further blocking the airway. Symptoms of peritonsillar abscess include: Chills Difficulty opening the mouth, and pain with opening the mouth Difficulty swallowing Drooling or inability to swallow saliva Facial swelling Fever Headache Muffled voice Sore throat (may be severe and is usually on one side) Tender glands of the jaw and throat Signs and tests An examination of the throat often shows swelling on one side and on the roof of the mouth. The uvula in the back of the throat may be shifted away from the swelling. The neck and throat may be red and swollen on one or both sides. The following tests may be done: Aspiration of the abscess CT scan Treatment If the infection is caught early, you will be given antibiotics. More likely, if an abscess has developed, it will need to be drained with a needle or by cutting it open. Sometimes, the abscess may be drained and the tonsils removed at the same time. You will be prescribed painkillers. Expectations (prognosis) Peritonsillar abscess usually goes away with treatment, although the infection may return in the future. Complications Airway obstruction Cellulitis of the jaw, neck, or chest Endocarditis (rare) Fluid around the lungs (pleural effusion) Inflammation around the heart (pericarditis) Pneumonia Calling your health care provider Call your health care provider if you have had tonsillitis and you develop symptoms of peritonsillar abscess. Call your health care provider if you have: Difficulty breathing Difficulty swallowing Pain in the chest Persistent fever Symptoms that get worse Prevention Quickly and completely treating tonsillitis, especially bacterial tonsillitis, may help prevent an abscess. VSP Group, my partner program. Get connected! https://youpartnerwsp.com/en/join?71815