Fasano Charles J, Chudnofsky Carl, Vanderbeek Paul
Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141, USA.
J Emerg Med. 2005 Jul;29(1):45-7. doi: 10.1016/j.jemermed.2005.01.005.
We describe a rare case of a previously healthy 30-year-old man who presented to the Emergency Department (ED) with bilateral peritonsillar abscesses. The clinical presentation of fever, trismus and odynophagia was consistent with pertonsillar abscess (PTA), but the presence of symmetric tonsillar swelling and midline uvula confounded the diagnosis. The true incidence of bilateral peritonsillar abscesses is unknown, but the incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%. The diagnosis of bilateral peritonsillar abscesses should be considered when the clinical presentation suggests the diagnosis of PTA, but the physical examination reveals bilateral swollen tonsils with a midline uvula.
我们描述了一例罕见病例，一名30岁既往健康的男性因双侧扁桃体周围脓肿就诊于急诊科。发热、牙关紧闭和吞咽痛的临床表现与扁桃体周围脓肿（PTA）相符，但双侧扁桃体对称性肿胀及悬雍垂位于中线的情况使诊断变得复杂。双侧扁桃体周围脓肿的真实发病率尚不清楚，但据报道，扁桃体切除术中发现的未被怀疑的对侧扁桃体周围脓肿的发病率在1.9%至24%之间。当临床表现提示为PTA，但体格检查发现双侧扁桃体肿大且悬雍垂位于中线时，应考虑双侧扁桃体周围脓肿的诊断。
