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Peritonsillar Phlegmon: An Addition to the Spectrum of COVID-19

Muhammad Atique Alam Khan1, Nathaniel Rosal1, Iqra Iqbal1

  • 1Internal Medicine, Abington - Jefferson Health, Abington, USA.

Cureus
|February 2, 2021
PubMed

Insights

This case study highlights a rare instance of peritonsillar inflammation and phlegmon formation in a patient with coronavirus disease 2019 (COVID-19). This finding suggests a potential link between SARS-CoV-2 infection and severe tonsillar complications.

Area of Science:

  • Infectious Diseases
  • Otolaryngology

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, has led to significant global morbidity and mortality.
  • Common symptoms include fever, cough, and shortness of breath, but less frequent manifestations also occur.

Observation:

  • A case of tonsillar inflammation complicated by peritonsillar phlegmon is presented.
  • The patient tested positive for COVID-19, with negative throat cultures.
  • This suggests a potential COVID-19-related cause for the observed throat condition.

Findings:

  • This is the first reported case of peritonsillar inflammation and phlegmon formation directly associated with COVID-19.
  • The findings expand the spectrum of known SARS-CoV-2 clinical presentations.

Implications:

  • This case suggests that COVID-19 can present with unusual head and neck manifestations.
  • Further research is warranted to understand the mechanisms and prevalence of such complications.
  • Clinicians should consider COVID-19 in patients presenting with severe tonsillar inflammation, even with atypical symptoms.

Keywords:
covid-19lymphadenopathyperitonsillar phlegmontonsillitis

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