A peritonsillar abscess can cause severe pain and swelling of the tonsils, making it difficult for sufferers to eat and drink. As a result, patients with peritonsillar abscesses are at risk of becoming dehydrated.
If not handled properly, infection in a peritonsillar abscess can also spread to the head and neck. In addition, the growing size of the abscess can block the respiratory tract and be fatal.
Causes of Peritonsillar Abscess
Other bacteria that can cause peritonsillar abscess are Staphylococcus, Pneumococcus, Actinomyces, Neisseria, and Haemophilus.
In rare cases, peritonsillar abscesses can also be caused by complications from infectious mononucleosis.
There are several factors that can increase a person's risk of developing a peritonsillar abscess, namely:
- Gum disease, such as periodontitis and gingivitis
- Tonsil stones
- Smoking habit
- Blood cancers, such as chronic lymphocytic leukemia, which cause a weakened immune system,
Symptoms of Peritonsillar Abscess
- Fever and chills
- Difficulty opening the mouth (trismus) and difficulty swallowing
- Swelling in one area of the base of the throat around the tonsils
- Ear pain on one side is the same as the appearance of the abscess.
- Stiff neck (torticollis)
- Hoarse voice
- Swollen lymph nodes on the same side as the location of the abscess
When to see a doctor
- Difficulty breathing
- Can't eat or drink
- The saliva that comes out is very much
Diagnosis of peritonsillar abscess
Generally, doctors can immediately diagnose a peritonsillar abscess by looking at the condition of the patient's throat and tonsils. However, to be sure, the doctor can carry out supporting examinations, which include:
- Blood tests are needed to detect signs of infection.
- Oral endoscopy is used to see the condition of the oral cavity and the surrounding area using a tool in the form of a camera tube.
- CT scan of the head or neck to get a clearer picture of the abscess location and ensure there is no respiratory tract obstruction.
Peritonsillar Abscess Treatment
If the patient is weak because it is difficult to eat and drink, the doctor will first give an infusion of fluids to prevent dehydration.
If a peritonsillar abscess causes an obstruction in the airways, the doctor can make a hole in the windpipe (a tracheostomy) for oxygen administration.
If the patient's condition is stable, the doctor can perform several treatments, such as:
1. Abscess surgery
Peritonsillar abscess complications
- Respiratory obstruction
- Dehydration because it's hard to eat and drink
- Cellulitis of the neck, jaw, or chest
- Rheumatic heart disease
- Rheumatic fever
- Inflammation of the kidneys (glomerulonephritis)
Prevention of Peritonsillar Abscess
- Maintain oral health by regularly brushing your teeth and gargling.
- Do not smoke.
- Undergoing treatment and taking antibiotics until they run out according to your doctor's recommendations if you have inflammation of the tonsils
- Wash your hands frequently and don't touch the nose and mouth area with unwashed hands, so you don't get strep throat easily.
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