A 31-year-old man presented with fever, right cervical lymph node swelling, and odynophagia. Right peritonsillar abscess was followed by tonsillectomy á chaud. Under i.v. antibiotic therapy, the swelling did not regress. melted identified in neck CT, which surgically removed. Francisella tularensis detected this case.

PERITONSILLAR abscess develops as a complication of tonsillitis, when infection spreads to the loose peritonsillar tissues. Insufficiently treated the abscess may perforate into the parapharyngeal space and spread along the vessels of the neck to the mediastinum or upwards under the base of the skull. Thrombophlebitis in the jugular vein, oedema of the larynx, sepsis and metastatic abscesses ma...

OBJECTIVE To investigate the relationship between tonsillar and peritonsillar infections. STUDY DESIGN Retrospective population-based study and a retrospective case series review. SETTINGS Tertiary academic medical facility. SUBJECTS AND METHODS All individuals hospitalized with peritonsillar abscess (PTA) or peritonsillar cellulitis (PTC) during 2004-2008 were reviewed. Patient age, gend...

Objective To assess changes in the characteristics of peritonsillar abscess (PTA). Methods A retrospective cohort study. Data obtained from medical records of patients diagnosed as having a peritonsillar abscess that were treated in a secondary urban medical center over a ten-year period (1998-2007). Results 427 patients, within ages of 3 to 91 years (average 31.6, SD 15.2, median 30) were enro...