Abstract
Intratonsillar abscess (ITA) is a rarely reported clinical entity in both children and adults. Despite its rarity ITA should be considered in the differential diagnosis of Peritonsillar abscess and Tonsillitis. CT scan is useful to confirm the presence of an ITA. The following case series summarizes three cases of intratonsillar abscess that presented to our centre and their management. The primary treatment modality involved needle aspiration with post-procedural antibiotics.
Highlights
Tonsillitis is a common pharyngeal infection in children and young adults, intratonsillar abscess is a rare complication associated with it
It would be imperative to note that even in peritonsillar abscess; tonsillectomy is no longer regarded as an absolute indication and is recommended for recurrent abscesses only [11]
This case series merits mention on account of the rarity of Intratonsillar abscess (ITA), its probable underreporting in the medical literature and the need for appropriate management
Summary
Tonsillitis is a common pharyngeal infection in children and young adults, intratonsillar abscess is a rare complication associated with it. The patient was treated with needle aspiration of the abscess and IV antibiotics (Inj. Amoxycillin 1g + clavulinic acid 200 mg 12th hourly & Inj. Metronidazole 100 ml 8th hourly) for 7 days. The aspirate was sent for culture sensitivity which did not grow any organism; we attributed it to the most likely fact that the patient had been treated with 2 courses of antibiotics in the preceding 20 days. A 34-years-old male patient came with fever of 3 days duration and right sided throat pain and odynophagia since 1 week. Patient was on regular follow up with no signs of recurrence
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