The University of Texas Medical Branch, Department of Otolaryngology, Galveston, TX 77555-0521, USA.
Am J Otolaryngol. 2012 Jan-Feb;33(1):163-7. doi: 10.1016/j.amjoto.2010.12.010. Epub 2011 Mar 2.
Although uncommon, bilateral peritonsillar abscess (PTA) may still present with symptoms found in unilateral cases but lack hallmark findings such as an asymmetric tonsillar bulge and uvular deviation. We present the case of an 18-year-old woman deemed to have a bilateral PTA based on physical examination and radiographic imaging. She underwent successful surgical drainage with needle aspiration, followed by incision and drainage. A computed tomography with intravenous contrast should be obtained when a patient displays signs suggestive of a bilateral PTA but the diagnosis is not certain. To our knowledge, this is the first report of 2 different bacterial species cultured from contralateral abscesses during the same encounter.
尽管不常见，但双侧扁桃体周脓肿（PTA）仍可能表现出单侧病例中的症状，但缺乏标志性发现，如扁桃体不对称隆起和悬雍垂偏斜。我们报告了一例 18 岁女性，根据体格检查和影像学检查，被认为患有双侧 PTA。她通过针吸成功进行了手术引流，随后进行了切开引流。当患者出现双侧 PTA 的征象但诊断不确定时，应进行 CT 增强扫描。据我们所知，这是首次报告在同一时间从对侧脓肿培养出 2 种不同细菌的病例。
