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Isolated right palatine tonsil abscess

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Isolated right palatine tonsil abscess

History: 8 year old male with sore throat for about 1 week, acutely worsening over past day. Parent reports muffled-sounding change in voice over past day, worsening discomfort, and increased difficulty eating. Pt refused to open mouth secondary to pain in throat. Pt has no significant past medical history, takes no medications regularly, and has no known allergies. Several classmates have recently missed school school due to “strep throat.”

Findings: Contrast Neck CT, 5mm axial images:2 cm, well defined, hypodense mass-like lesion in the right palatine tonsil. Airway is patent, but there is significant mass effect. The adenoids are also prominent. There is no other significant lymphadenopathy, no involvement of prevertebral or masticator spaces, and no extension to the skull base. There is minimal mucosal thickening in ethmoid air cells and maxillary sinuses.

Ddx: Tonsillar abscess, most likely from streptococcus speciesTonsillar cellulitis

Exam: Erythematous posterior pharanyx with cobblestoning and exudates, enlarged palatine tonsils (right greater than left), uvular deviation to left, difficulty opening mouth secondary to pain.

No MeSH data available.


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Isolated right palatine tonsil abscess

USU Teaching File MUTF - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1885&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Isolated right palatine tonsil abscess

History: 8 year old male with sore throat for about 1 week, acutely worsening over past day. Parent reports muffled-sounding change in voice over past day, worsening discomfort, and increased difficulty eating. Pt refused to open mouth secondary to pain in throat. Pt has no significant past medical history, takes no medications regularly, and has no known allergies. Several classmates have recently missed school school due to “strep throat.”

Findings: Contrast Neck CT, 5mm axial images:2 cm, well defined, hypodense mass-like lesion in the right palatine tonsil. Airway is patent, but there is significant mass effect. The adenoids are also prominent. There is no other significant lymphadenopathy, no involvement of prevertebral or masticator spaces, and no extension to the skull base. There is minimal mucosal thickening in ethmoid air cells and maxillary sinuses.

Ddx: Tonsillar abscess, most likely from streptococcus speciesTonsillar cellulitis

Exam: Erythematous posterior pharanyx with cobblestoning and exudates, enlarged palatine tonsils (right greater than left), uvular deviation to left, difficulty opening mouth secondary to pain.

No MeSH data available.