Abstract

IntroductionPeritonsillar infections (PTA and peritonsillar cellulitis) are common neck infections in children with an incidence of 13,500 cases per year in the United States [1]. Patients with peritonsillar infections classically present with sore throat, neck pain, odynophagia, dysphagia, fever greater than 38 °C, and absent or decreased oral intake or dehydration. Physical exam findings may include neck adenopathy, uvular deviation, muffled voice, and trismus, and workup reveals leukocytosis with a left shift [2]. Due to the risk of possible infectious spread into the parapharyngeal space or deep neck spaces, airway compromise from acute enlargement, and bronchopneumonia from rupture and aspiration, urgent medical evaluation and treatment of peritonsillar infections is advised.

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