Peritonsillitis and peritonsillar abscess

EBM Guidelines
Nov 3, 2023 • Completely updated
Jaakko Piitulainen

Table of contents

Extract

  • Tonsillitis may proceed to cause first cellulitis of the tissue surrounding the palatine tonsils, i.e. peritonsillitis, and further a peritonsillar abscess.
  • The symptoms include fever, severe, often unilateral, throat pain and difficulty swallowing, sometimes trismus and difficulty speaking.
  • Laboratory tests and imaging are usually unnecessary.
  • Untreated, the disease may progress to cause a deep neck infection.
  • The disease always requires emergency treatment.
  • Adult patients feeling relatively well can often be treated also in primary health care.

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