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Peritonsillitis: abscess or cellulitis?

M Shoemaker, R M Lampe, M R Weir

    Pediatric Infectious Disease
    |July 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Peritonsillitis, encompassing cellulitis and abscess, presents similarly but differs in patient age. Abscess is more common in adolescents, with age, dysphagia, and drooling as key discriminators.

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    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Pediatric Medicine

    Background:

    • Peritonsillitis, a condition involving tonsillar inflammation, can manifest as either cellulitis or abscess.
    • Distinguishing between peritonsillar cellulitis and abscess is crucial for appropriate management.
    • Previous studies have not clearly defined the differentiating factors between these two conditions.

    Purpose of the Study:

    • To identify the distinguishing clinical and demographic factors between peritonsillar cellulitis and peritonsillar abscess.
    • To analyze the etiological agents responsible for each condition.

    Main Methods:

    • A retrospective review of 29 patients diagnosed with peritonsillitis (15 cellulitis, 14 abscess).
    • Analysis of presenting complaints, physical examination findings, and patient demographics.

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  • Discriminant analysis was used to identify significant differentiating factors.

    • Main Results:

    • Patients with peritonsillar abscess were significantly older (mean age 15.0 years) than those with cellulitis (mean age 10.8 years).
    • Age, dysphagia, and drooling were identified as significant discriminators for abscess.
    • Trismus was a significant discriminator for cellulitis.

    Conclusions:

    • Peritonsillar abscess is more likely to occur in adolescent patients.
    • While initial presentations may be similar, specific symptoms like dysphagia and drooling, along with age, can help differentiate abscess from cellulitis.
    • Intravenous penicillin and prompt drainage for refractory cases are recommended therapies.