Periamygdalian abscess: what it is, symptoms and treatment

The peritonsillar abscess corresponds to swelling and accumulation of secretions in the region around the tonsil, which occurs as a consequence of tonsillitis, which in most cases is associated with infection by the bacteria Streptococcus pyogenes.

Due to the presence of the abscess, it is possible that the person experiences difficulty in swallowing, pain in the throat that can extend to the ear, fever, voice change and headache, for example.

It is important that the treatment for peritonsillar abscess is done as soon as it is identified, as this way it is possible to prevent complications. Treatment consists of draining the abscess and using antibiotic and anti-inflammatory drugs, and in some cases surgery to remove the tonsils may also be indicated.

Symptoms of peritonsillar abscess

The main symptom of peritonsillar abscess is swelling in the region around the tonsil, which can cause the throat to become asymmetrical, for example. Other symptoms indicative of peritonsillar abscess are:

  • Difficulty opening your mouth;
  • Pain and difficulty in swallowing;
  • Severe pain in the region where the tonsils are located;
  • Voice alteration;
  • Fever;
  • Headache;
  • Earache in some cases;
  • Intense bad breath.

In the presence of these signs and symptoms, it is important that the doctor is consulted so that an assessment can be made and that the most appropriate treatment can be carried out.

Diagnosis of peritonsillar abscess consists of a visual examination, in which swelling of the tissues around the infected tonsils and displacement of the uvula are observed. In addition, the doctor can also take a sample of secretions from the throat to be evaluated in the laboratory, making it possible to identify the infectious agent responsible for this change.

Possible causes

The peritonsillar abscess occurs around the tonsils and happens as a consequence of tonsillitis, which corresponds to inflammation of the tonsils due to infection by bacteria, mainly Streptococcus pyogenes. This change is more common to happen in people who have recurrent tonsillitis attacks. Learn more about tonsillitis.

How is the treatment done

Treatment for peritonsillar abscess consists of draining the abscess to prevent complications, in addition to the use of antibiotics and anti-inflammatory drugs to combat bacterial proliferation and provide relief from the present symptoms.

In some cases, especially in cases of recurrent tonsillitis, after draining the abscess, the doctor may indicate surgery to remove the tonsils, tonsillectomy, in order to prevent new crises of tonsillitis and peritonsillar abscess. Understand how surgery is performed to remove the tonsils.

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