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COVID‑19 and peritonsillar abscess co‑infection: A case report
Akihisa Tanaka1,2, Shinji Mikami1, Naomiki Kimura1
1Department of Otolaryngology-Head and Neck Surgery, Bellland General Hospital, Sakai, Osaka 599-8247, Japan.
Medicine International
|January 26, 2023
Summary
A patient with COVID-19 also had a peritonsillar abscess (PA). Early diagnosis of bacterial infections like PA is crucial, even during the COVID-19 pandemic, to prevent underdiagnosis.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Emergency Medicine
Background:
- Coronavirus disease 2019 (COVID-19) shares symptoms with common throat infections.
- Peritonsillar abscess (PA) is a potential complication of throat infections.
Observation:
- A case of co-infection with COVID-19 and PA was observed.
- Initial symptoms suggested COVID-19, but oral examination and CT scan confirmed PA.
- The patient received intravenous antibiotics for PA and supportive care for mild COVID-19.
Findings:
- Laboratory results showed elevated leukocytes, C-reactive protein (CRP), and procalcitonin.
- The relationship between these markers and bacterial co-infection in COVID-19 patients requires further investigation.
- The patient's PA was managed conservatively without surgical drainage.
Implications:
- Avoiding oral examinations due to COVID-19 aerosolization risk may lead to underdiagnosis of serious bacterial infections.
- Prompt and thorough evaluation is essential for patients presenting with symptoms overlapping COVID-19 and bacterial infections.
- This case highlights the importance of considering and diagnosing co-existing bacterial infections in COVID-19 patients.
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