Peritonsillar Abscess

A peritonsillar abscess is a serious infection that forms a pocket of pus near the tonsils, usually as a complication of tonsillitis or strep throat. This condition requires prompt medical treatment, often including drainage and antibiotics, to prevent complications. If your child has worsening throat pain or trouble swallowing, seek care immediately.

A peritonsillar abscess usually develops as a complication of untreated or severe tonsillitis or strep throat. When bacteria spread from the infected tonsil into the surrounding tissue, it can create a pocket of pus near the tonsil. Risk factors include frequent throat infections, poor oral hygiene and delayed treatment. Early care for sore throats can help prevent this serious condition.

Common symptoms of a peritonsillar abscess include:

• Severe sore throat (usually on one side)
• Difficulty swallowing
• Muffled or “hot potato” voice
• Fever
• Swelling near the tonsil

Doctors diagnose a peritonsillar abscess by reviewing your child’s symptoms and performing a physical exam of the throat. They look for signs like swelling near the tonsils, severe pain and difficulty swallowing. In some cases, a needle aspiration or imaging test such as an ultrasound or CT scan may be used to confirm the presence of pus. Early diagnosis is important to prevent complications and start treatment quickly.

Treatment for a peritonsillar abscess in children usually involves draining the abscess and giving antibiotics to fight infection. In some cases, doctors may use a needle or small incision to remove pus. Pain relief and fluids are also important for recovery.

The best way to prevent a peritonsillar abscess is to treat throat infections early. Prompt care for tonsillitis or strep throat with prescribed antibiotics reduces the risk of complications. Encourage good oral hygiene, regular handwashing and completing all medications as directed. Early attention to symptoms is key to prevention.