TY - JOUR
T1 - Peritonsillar abscess in early childhood
T2 - Presentation and management
AU - Friedman, Norman R.
AU - Mitchell, Ron B.
AU - Pereira, Kevin D.
AU - Younis, Ramzi T.
AU - Lazar, Rande H.
PY - 1997/6
Y1 - 1997/6
N2 - 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.
AB - 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.
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U2 - 10.1001/archotol.1997.01900060072013
DO - 10.1001/archotol.1997.01900060072013
M3 - Article
C2 - 9193226
AN - SCOPUS:0030960374
SN - 0886-4470
VL - 123
SP - 630
EP - 632
JO - Archives of Otolaryngology - Head and Neck Surgery
JF - Archives of Otolaryngology - Head and Neck Surgery
IS - 6
ER -