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Concurrent Peritonsillar Abscess and Uvular Hydrops in a Pediatric Patient
Rissa A Zudekoff1, Maria F Pugliese1,2, Merlin C Lowe1,2
1Pediatrics, University of Arizona College of Medicine - Tucson, Tucson, USA.
Insights
Peritonsillar abscesses (PTAs) with uvular hydrops are rare in children. Needle aspiration and drainage provided symptom relief, highlighting the importance of monitoring for airway compromise.
Area of Science:
- Otolaryngology
- Pediatric Emergency Medicine
Background:
- Peritonsillar abscesses (PTAs) are common in pediatric patients.
- Concurrent uvular hydrops with PTAs is rarely reported in pediatric cases.
Observation:
- A pediatric patient presented with severe pharyngitis symptoms including odynophagia, dyspnea, muffled voice, drooling, and trismus.
- Physical examination revealed a peritonsillar abscess alongside an edematous and erythematous uvula.
Findings:
- Needle aspiration and drainage of the peritonsillar abscess were performed.
- The patient experienced significant symptom relief, including resolution of dyspnea and odynophagia, after the procedure.
Implications:
- Drainage and close monitoring for airway compromise are recommended for pediatric patients with PTAs and concurrent uvular hydrops.
- This case underscores the importance of prompt diagnosis and management of airway-threatening conditions in children.
Abstract:
Although peritonsillar abscesses (PTAs) are a common presentation in pediatric patients, there are very few reports on a pediatric patient with both a PTA and uvular hydrops. Our patient presented to the emergency room after being unsuccessfully treated for pharyngitis, with odynophagia, dyspnea, muffled voice, drooling, and trismus. On physical examination, we observed a PTA as well as an edematous and erythematous uvula. Following the standard of care, the patient underwent a needle aspiration in the emergency department and subsequently was admitted overnight for observation. The patient had great symptom relief after undergoing drainage of his PTA and was discharged the next morning with symptom resolution of his dyspnea and odynophagia. We recommend drainage and close monitoring for airway compromise as an appropriate treatment course for PTAs and concurrent uvular hydrops.
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