Peritonsillar abscess in early childhood: Presentation and management

Norman R. Friedman, Ron B. Mitchell, Kevin D. Pereira, Ramzi T. Younis, Rande H. Lazar

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

Objective: To highlight the modes of presentation and management of a peritonsillar abscess in children younger than 5 years. Design: Retrospective case series. Setting: Tertiary referral pediatric otolaryngology practice. Patients: Seven children younger than 5 years. Results: The mean age of the children studied was 27 months (age range, 7-41 months). Five (71%) of the 7 patients underwent computed tomographic scanning to confirm the diagnosis. Pus was cultured at surgery in every case. The most common organism detected was Streptococcus viridans. The average hospital stay was 72 hours (range, 22 hours to 12 days). After diagnosis of an abscess, all patients underwent an electrocautery tonsillectomy and had an uneventful recovery. Conclusions: Children younger than 5 years who present with poor oral intake, high fever, drooling, and trismus should be suspected of having a peritonsillar abscess. A computed tomographic scan of the neck is usually required to confirm a suspected diagnosis. Prompt diagnosis and treatment will lead to a considerable decrease in morbidity. Immediate tonsillectomy is a sail and effective means of abscess drainage.

Original languageEnglish (US)
Pages (from-to)630-632
Number of pages3
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume123
Issue number6
DOIs
StatePublished - Jun 1997

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ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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