Peritonsillar Abscess (Tonsil Abscess)
Description
A collection of pus in or around an infected tonsil. The swelling can become large enough to interfere with breathing. Surgical drainage of the abscess is often required.
Symptoms
Sore throat (may be severe), asymmetrical swelling of the tonsils, swelling extending onto the roof of the mouth, deviation of the uvula, tender glands of the jaw and throat, facial swelling, drooling, headache, fever, chills, difficulty and pain with opening the mouth.
Tests
A history and physical exam will be performed. Aspiration of the abscess fluid is sent for culture. A CT scan may be performed to establish the diagnosis and determine its extent.
- CBC
- Chem 12
- CT Scan
Treatment
Treatment depends on the size of the abscess. Generally antibiotics are given either orally or intravenously. Small abscesses can be treated with antibiotics alone although most abscesses will be drained either with a needle or by making an incision in the tonsil. Nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol), and steroids may be administered. Surgery to remove the tonsils (tonsillectomy) may be considered.
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