QUINSY

Quinsy, also known as peritonsillar abscess, is a rare and serious complication of tonsillitis. An abscess forms between the paired palatine tonsils and is caused by a bacterial infection that has spread from one infected tonsil to the surrounding area. It is likely for recurrence and often affects teenagers and young adults.

Symptoms include:

  • Severe or worsening sore throat
  • Swelling inside mouth and throat, usually on one side
  • Pain and difficulty when swallowing
  • Bad breath
  • Ear ache on the affected side
  • Headache
  • Difficulty in breathing

Diagnosis

Consult physician if any or all symptoms manifest. Physician may request for the following clinical tests:

  • Physical examination of the ears, nose, throat and tonsils
  • Laboratory studies (CBC, electrolyte level measurement)
  • Radiologic studies (X-ray, CT with or without contrast)

ENT specialists are referred to immediately for further tests and treatment.

 

Recommended Management

  • Medical treatment
    • Antibiotics (to clear infection), through IV and eventually oral route
    • Analgesics
    • Cortiosteroids
  • Surgery
    • Needle aspiration
    • Incision and drainage
    • Tonsillectomy

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