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[Bilateral peritonsillar abscess with lymph node abscess in a infant. A rare case]
1Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie/Plastische Operationen, Helios-Klinikum Bad Saarow, Pieskower Straße 33, 15526, Bad Saarow, Deutschland. Florian.Bast@helios-kliniken.de
HNO
|March 23, 2011
Summary
Bilateral peritonsillar abscess (PTA) is rare in infants. This case shows PTA can occur without typical symptoms, emphasizing the need for broader diagnosis in refractory neck abscesses.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
- Head and Neck Surgery
Background:
- Peritonsillar abscess (PTA) accounts for about 30% of head and neck soft tissue abscesses.
- Bilateral PTA is uncommon, especially in infants.
Observation:
- A 10.5-month-old infant presented with bilateral peritonsillar abscess and a lymph node abscess.
- The infant lacked the typical clinical signs usually associated with PTA.
Findings:
- This case highlights that peritonsillar abscess should be considered in infants with refractory lymphadenitis colli, even without classic PTA symptoms.
- Diagnostic imaging may be beneficial for identifying PTA in atypical pediatric cases.
Implications:
- Broadens the differential diagnosis for pediatric neck abscesses.
- Suggests a more liberal use of imaging for suspected PTA in infants.
- Emphasizes careful evaluation in cases of persistent or unresponsive neck infections in children.
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