A peritonsillar abscess is a form of bacterial infection that originates as a complication of tonsillitis or strep throat that was left untreated. Generally, it involves the formation of a pocket filled with pus that forms close to one of the tonsils.
It is prevalent among children, teenagers and even young adults. In most cases, the abscess occurs at the start or end of the winter season when ailments such as tonsillitis and strep throat are widespread.
What are the causes?
Peritonsillar abscess typically forms as a complication of tonsillitis. In case an infection develops from a tonsil and spreads to the adjacent area, an abscess forms. This type of abscess is becoming uncommon due to the availability of antibiotics in the management of tonsillitis and strep throat.
Mononucleosis is also a cause for the abscess as well as gum and tooth infections. In rare instances, it is possible for an abscess to develop without an infection. This might be due to the inflamed Weber glands which are found beneath the tongue and generate saliva.
What are the signs?
The signs of a peritonsillar abscess are strikingly the same as strep throat and tonsillitis. The difference is that the abscess is visible the back part of the throat.
It appears as a swollen, white-colored blister or boil. The usual indications include:
- Fever and chills
- Infection in the tonsils
- Sore throat that is worse on one side
- Difficulty swallowing or opening the mouth fully
- Headache
- Swollen neck or face
- Difficulty swallowing saliva
- Bad breath
- Swollen glands in the jaw or throat and ear pain on the side with sore throat
- Muffled voice
Management
Antibiotics are generally given as treatment for a peritonsillar abscess. The doctor will drain the pus to hasten the healing by lancing the abscess to release the fluids.
If the individual could not drink or eat, intravenous fluids are given to maintain proper hydration. The doctor might also prescribe pain medications if there is significant pain.
Similar with tonsillitis and strep throat, if the abscess recurs, the doctor might suggest the removal of the tonsils to prevent future and severe infections.