Affiliations 

  • 1 ORL, MO, Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Sultanah Nora Ismail Batu Pahat, Johor Malaysia. Email: boonchin2002@hotmail.com
  • 2 ORL, Specialist, Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Sultanah Nora Ismail Batu Pahat, Johor Malaysia
  • 3 MD, M.Med (ORL-HNS), Department of Otorhinolaryngology-Head & Neck Surgery, Universiti Sains Malaysia Health Campus Kota Bharu, Kelantan, Malaysia
Malays Fam Physician, 2018;13(1):41-44.
PMID: 29796210 MyJurnal

Abstract

Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. It is regarded as an emergency as an upper airway obstruction can develop. Bilateral peritonsillar abscess is a rare presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis. Prompt diagnosis and fast drainage are warranted to avoid unwanted morbidity, and, also, mortality.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.