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Bilateral peritonsillar abscess: A rare emergency
C Boon1, W E Wan Mohamad2, I Mohamad3
1ORL, MO, Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Sultanah Nora Ismail Batu Pahat, Johor Malaysia.
Abstract:
Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. It is regarded as an emergency as an upper airway obstruction can develop. Bilateral peritonsillar abscess is a rare presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis. Prompt diagnosis and fast drainage are warranted to avoid unwanted morbidity, and, also, mortality.
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