Edinger James T, Hilal Elias Y, Dastur Khurshed J
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Mercy Hospital of Pittsburgh, PA, USA.
Ear Nose Throat J. 2007 Mar;86(3):162-3.
Peritonsillar abscess is the most common complication of acute tonsillitis. Bilateral peritonsillar abscesses are much less common, and they may be more difficult to detect on physical examination because the oropharynx often appears to be symmetrical rather than asymmetrical, as is the case in unilateral abscess. Previous steroid treatment may also complicate the diagnosis by masking the signs and symptoms of abscess. We describe the case of a young woman who presented to the emergency department with relatively mild symptoms despite having large bilateral peritonsillar abscesses. We believe that her symptoms had been masked by previous steroid therapy. We also review the treatment and microbiology of peritonsillar abscess.
扁桃体周脓肿是急性扁桃体炎最常见的并发症。双侧扁桃体周脓肿则少见得多，而且在体格检查时可能更难发现，因为口咽部通常看起来是对称的，不像单侧脓肿那样不对称。既往使用类固醇治疗也可能因掩盖脓肿的体征和症状而使诊断复杂化。我们描述了一名年轻女性的病例，她双侧扁桃体周脓肿很大，但就诊于急诊科时症状相对较轻。我们认为她的症状被既往的类固醇治疗掩盖了。我们还回顾了扁桃体周脓肿的治疗及微生物学情况。
