Kizhner Victor, Segal Yossi, Karam Marwan, Zohar Shmuel, Gilbey Peter
Otolaryngology, Head and Neck Surgery Unit, Sieff Medical Center, Zefat, Israel.
Harefuah. 2008 Oct;147(10):768-9, 839.
Peritonsillar abscess is a suppurative infection of the tissues adjacent to the palatine tonsil and is regarded in otolarygologic practice as a complication of pharyngotonsillitis. The most common presentation is gradually increasing pain, fever, trismus, drooling and a muffled voice. Asymmetric tonsils are common in clinical practice. Differential diagnosis includes infectious, granulomatous, congenital and neoplastic lesions. This is a case study of two patients evaluated for unilateral tonsillar enlargement who were found to have a previously unexpected peritonsillar abscess at tonsillectomy. The patients had no other signs or symptoms of acute pharyngotonsillar or peritonsillar infection. To our knowledge, this is the first report of an occult peritonsillar infection causing unilateral tonsillar enlargement.
扁桃体周围脓肿是腭扁桃体相邻组织的化脓性感染，在耳鼻喉科临床实践中被视为咽扁桃体炎的并发症。最常见的表现是疼痛逐渐加重、发热、牙关紧闭、流口水和声音含糊。临床实践中扁桃体不对称很常见。鉴别诊断包括感染性、肉芽肿性、先天性和肿瘤性病变。本文是一项病例研究，两名因单侧扁桃体肿大接受评估的患者在扁桃体切除术中被发现有此前未预料到的扁桃体周围脓肿。这两名患者没有急性咽扁桃体炎或扁桃体周围感染的其他体征或症状。据我们所知，这是关于隐匿性扁桃体周围感染导致单侧扁桃体肿大的首例报告。
