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A Case of Esophageal Submucosal Abscess Originating from a Peritonsillar Abscess

Mami Inoue, Kotaro Okamoto, Hikaru Nagao

    Nihon Jibiinkoka Gakkai Kaiho
    |July 28, 2018
    PubMed

    Insights

    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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