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Jens Kramer Rangen1, Magnus Sandberg Madsen1, Søren Kjærsgaard2

  • 1Øre-, Næse- og Halskirurgisk Afdeling, Aalborg Universitetshospital.

Ugeskrift for Laeger
|November 12, 2024
PubMed
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A peritonsillar abscess in an infant caused decreased oral intake and neck swelling. Prompt incision, drainage, and antibiotics led to a successful recovery and discharge.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Peritonsillar abscesses are rare in infants.
  • Atypical presentations can delay diagnosis.

Observation:

  • A nine-week-old infant presented with decreased oral intake and left neck swelling.
  • Magnetic Resonance Imaging (MRI) revealed a large peritonsillar abscess connected to the neck swelling.

Findings:

  • The infant underwent incision and drainage of the abscess.
  • Intravenous antibiotics were administered, followed by oral antibiotics.
  • The patient recovered well and was discharged within two days.

Implications:

  • This case highlights the importance of considering peritonsillar abscess in infants with atypical neck masses.

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  • Early surgical intervention and antibiotic therapy are crucial for favorable outcomes.
  • Further research into pediatric peritonsillar abscesses may improve diagnostic and treatment strategies.