Document Detail

Intratonsillar abscess: a rare cause for a common clinical presentation.
MedLine Citation:
PMID:  19105134     Owner:  NLM     Status:  MEDLINE    
Intratonsillar abscess is a rare clinical condition in patients who present with odynophagia. We report the case of a 33-year-old man who presented with odynophagia, unilateral tonsillar enlargement with palatal fullness, and deviation of the uvula. Failed attempts at drainage of a presumptive peritonsillar abscess and a worsening of signs and symptoms led to a clinical suspicion of a parapharyngeal abscess. Computed tomography of the neck detected a 2.6 x 2.3-cm intratonsillar abscess. The abscess was drained, and the patient's signs and symptoms resolved. Our review of the current English-language literature revealed that only 8 such cases have been previously reported. We report this new case to increase awareness of this condition, to demonstrate the diagnostic difficulty in such cases, and to discuss the pathophysiology of intratonsillar abscess formation.
Eng Cern Gan; Yuk Hui Ng; Siew Yoong Hwang; Peter Kuo San Lu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  87     ISSN:  1942-7522     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-23     Completed Date:  2009-05-08     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E9     Citation Subset:  IM    
Department of Otolaryngology, Changi General Hospital, Singapore, Republic of Singapore.
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MeSH Terms
Abscess / complications*,  microbiology,  surgery*
Adenoids / microbiology,  radiography,  surgery*
Deglutition Disorders / diagnosis,  etiology*
Lymphatic Diseases / complications,  pathology,  radiography
Pharyngeal Diseases / complications*,  radiography,  surgery*
Severity of Illness Index
Staphylococcal Infections / microbiology
Tomography, X-Ray Computed

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