Condition Info - BotMed Application

ConditionName

Peritonsillar abscess

ConditionDescription

Symptoms

Dysphagia; Fever; Malaise; Odynophagia; Otalgia (ipsilateral); Drooling;
Severe sore throat, worse on one side; Muffled voice (“hot potato” voice);

PhysicalFindings

Cervical lymphadenitis;  
Erythematous, swollen soft palate with uvula deviation to contralateral side and enlarged tonsil; 
Uvula deviation to the opposite side

ClinicalTests

CT

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Airway obstruction; 
Aspiration pneumonitis or lung abscess secondary to peritonsillar abscess rupture; 
Extension of infection into the deep tissues of the neck or superior mediastinum; 
Life-threatening hemorrhage secondary to erosion or septic necrosis into carotid sheath; 
Poststreptococcal sequelae, such as glomerulonephritis and rheumatic fever, when infection is caused by group A Streptococcus;

ProgressionFromCondition

Caused by Strep pyogenes
Stap A
Bacteroides spp.

TreatmentOptions

Drainage of abscess

PharmOptions

Pain medication;
Antibiotics;
Clindamycin;

WebLink

https://www.merckmanuals.com/en-ca/professional/ear,-nose,-and-throat-disorders/oral-and-pharyngeal-disorders/peritonsillar-abscess-and-cellulitis