Peritonsillar Abscess in Early Childhood: Presentation and Management
- 1 June 1997
- journal article
- case report
- Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery
- Vol. 123 (6), 630-632
- https://doi.org/10.1001/archotol.1997.01900060072013
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 safe and effective means of abscess drainage. Arch Otolaryngol Head Neck Surg. 1997;123:630-632Keywords
This publication has 7 references indexed in Scilit:
- Peritonsillar abscess: Incidence, current management practices, and a proposal for treatment guidelinesThe Laryngoscope, 1995
- Needle Aspiration of Peritonsillar Abscess in ChildrenJAMA Otolaryngology–Head & Neck Surgery, 1993
- Peritonsillar and neck abscesses in the pediatric age groupThe Laryngoscope, 1988
- Peritonsillar Abscess in the Pediatric PopulationOtolaryngology -- Head and Neck Surgery, 1981
- Peritonsillar Abscess: Recurrence Rate and TreatmentJAMA Otolaryngology–Head & Neck Surgery, 1981
- Peritonsillar abscesses in childrenThe Laryngoscope, 1981
- Quinsy tonsillectomyThe Laryngoscope, 1976