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[Bilateral peritonsillar abscess in children: case report]

María L Scatolini1, Ana C Ragoni2, Silvina A Bravo2

  • 1Hospital Policial Churruca Visca, Ciudad de Buenos Aires, Argentina. mlscatolini@hotmail.com.

Archivos Argentinos De Pediatria
|May 8, 2019
PubMed

Insights

Bilateral peritonsillar abscess, a rare complication of acute tonsillitis, presents unique diagnostic and airway management challenges, particularly in children. This case highlights the importance of clinical suspicion for timely intervention.

Area of Science:

  • Otolaryngology
  • Pediatric Infectious Diseases

Background:

  • Peritonsillar abscess (PTA) is a common complication of acute bacterial tonsillitis.
  • PTA typically presents unilaterally and is more prevalent in adults, with bilateral involvement being rare, especially in children.

Observation:

  • Clinical presentation includes odynophagia, trismus, sialorrhea, fever, and a guttural voice.
  • Physical examination may reveal bilateral anterior pillar bulging and uvular/soft palate edema without pharyngeal asymmetry.
  • High clinical suspicion is essential for early diagnosis in pediatric patients.

Findings:

  • This case highlights the diagnostic and therapeutic process for a child with bilateral peritonsillar abscess.
  • Airway management is a critical consideration due to potential difficulty.

Implications:

  • Emphasizes the importance of considering rare presentations of common infections in pediatric populations.
  • Underscores the need for prompt diagnosis and appropriate airway management in pediatric PTA cases.

Keywords:
Bilateral peritonsillar abscessesChild

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