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A Case of Esophageal Submucosal Abscess Originating from a Peritonsillar Abscess
Nihon Jibiinkoka Gakkai Kaiho
|July 28, 2018
Summary
A peritonsillar abscess in a 54-year-old male led to secondary phlegmonous esophagitis. Prompt drainage and antibiotic treatment resulted in patient recovery without mediastinitis.
Area of Science:
- Otolaryngology
- Gastroenterology
- Infectious Diseases
Background:
- Peritonsillar abscesses are common complications of tonsillitis.
- Esophageal involvement is a rare but serious complication.
Observation:
- A 54-year-old male presented with sore throat and high inflammatory markers.
- CT scan revealed a peritonsillar abscess extending to the cervical esophagus with esophageal wall thickening.
- Abscess fluid culture identified Streptococcus constellatus.
Findings:
- Phlegmonous esophagitis secondary to peritonsillar abscess was diagnosed.
- Inflammation extended into the esophageal submucosa from the pharyngeal space.
- The condition was successfully managed conservatively with antibiotics after abscess drainage.
Implications:
- This case highlights the importance of considering esophageal involvement in severe peritonsillar abscesses.
- Early recognition and intervention can prevent progression to mediastinitis.
- Conservative management with antibiotics is effective for contained phlegmonous esophagitis.
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