Bast F, Köhler H, Sparr K-D, Schrom T
Klinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie/Plastische Operationen, Helios-Klinikum Bad Saarow, Pieskower Straße 33, 15526, Bad Saarow, Deutschland.
HNO. 2011 Oct;59(10):1022-4. doi: 10.1007/s00106-010-2247-y.
Peritonsillar abscess (PTA) comprises approximately 30% of soft tissue head and neck abscesses. Bilateral occurrence in infants is rare. The present case demonstrates a bilateral peritonsillar abscess with a lymph node abscess in a 10.5-month-old infant without the typical clinical findings of PTA. This report highlights the importance of including peritonsillar abscesses in the differential diagnosis of abscess-forming cases of lymphadenitis colli refractory to therapy, even if the classical symptoms are absent. In individual cases, the indication for image-guided procedures to establish the diagnosis of PTA should be made generously.