It’s Never Just a PTA: A Series of Deep Neck Infections with Literature Review

Abstract

Infections of the head and neck are commonly treated by otolaryngologists. Peritonsillar abscesses are a relatively frequent occurrence that can be treated on an outpatient basis, unlike other deep neck infections which typically require operative drainage. Patients are often transferred to institutions with specialist coverage, and accepting physicians must be wary of the presumed diagnosis. We present two cases of extensive deep neck infections requiring multiple operative procedures in patients who were transferred with a diagnosis of peritonsillar abscess. These cases and review of literature is a reminder to all to ensure an independent evaluation and differential diagnosis when assessing any patient.