1.a painful pus filled inflammation of the tonsils and surrounding tissues; usually a complication of tonsillitis
1.(MeSH)An abscess in the peritonsillar tissue extending into the tonsil capsule, resulting from suppuration of the tonsil. (Dorland, 27th ed)
definition of Wikipedia
Pharyngeal Diseases, Pharynx Diseases - Infections, Respiratory, Infections, Respiratory Tract, Infections, Upper Respiratory, Respiratory Infections, Respiratory Tract Infections, Upper Respiratory Infections - Dental Diseases, Mouth and Tooth Diseases, Stomatognathic Diseases - ENT Diseases, Otorhinolaryngologic Diseases - Pus, Suppuration[Hyper.]
Peritonsillar Abscess (n.) [MeSH]
Peritonsillar abscess J36[ClasseHyper.]
Acute tonsillitis J03[àLExclusionDe]
peritonsillar abscess (n.)
|Classification and external resources|
Right sided peritonsillar abscess
Peritonsillar abscess (PTA), also called a quinsy or abbreviated as PTA is a recognized complication of tonsillitis and consists of a collection of pus beside the tonsil in what is referred to as Peritonsilar space (Peri - meaning surrounding).
Unlike tonsillitis, which is more common in the pediatric age group, PTA has a more even age spread — from children to adults. Symptoms start appearing two to eight days before the formation of an abscess. Progressively worsening, unilateral sore throat and pain during swallowing usually are the earliest symptoms. As the abscess develops, persistent pain in the peritonsillar area, fever, malaise, headache and a distortion of vowels informally known as "hot potato voice" may appear. Neck pain associated with tender, swollen lymph nodes, referred ear pain and halitosis are also common. While these signs may be present in tonsillitis itself, a PTA should be specifically considered if there is limited ability to open the mouth (trismus). In Short:
Severe unilateral pain in the throat Pyrexia above 103 degree F Unilateral Earache Odynophagia and difficulty to shallow saliva. Trismus is common Change in voice — muffled voice, “hot potato” voice. Intense salivation and dribbling,Thickened speech, Foetor oris, Halitosis Pain in the neck Malaise, Headache, Rigor may occur
Physical signs include redness and edema in the tonsillar area of the affected side and swelling of the jugulodigastric lymph nodes. The uvula may be displaced towards the unaffected side. Odynophagia (pain during swallowing), and ipsilateral earache also can occur.
PTA usually arises as a complication of an untreated or partially treated episode of acute tonsillitis. The infection, in these cases, spreads to the peritonsillar area (peritonsillitis). This region comprises loose connective tissue and is hence susceptible to formation of abscess. PTA can also occur de novo. Both aerobic and anaerobic bacteria can be causative. Commonly involved species include streptococci, staphylococci and hemophilus.
Treatment is, as for all abscesses, through surgical incision and drainage of the pus, thereby relieving the pain of the pressed tissues. Antibiotics are also given to treat the infection. Internationally, the infection is frequently penicillin resistant, so it is now common to treat with clindamycin. Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients.
The condition Peritonsillar Abscess is also referred to as "quincy", "quinsy" or "quinsey". These terms are Anglicised versions of the French word esquinancie which was originally rendered as Squinsey and subsequently Quinsy.
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