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Case Reports in Medicine
Volume 2011 (2011), Article ID 981924, 4 pages
http://dx.doi.org/10.1155/2011/981924
Case Report

Bilateral Peritonsillar Abscesses: A Case Presentation and Review of the Current Literature with regard to the Controversies in Diagnosis and Treatment

1ENT Department, Elpis General Hospital, 11522 Athens, Greece
2ENT Department, Lister Hospital, 64 Morecambe Close, Stevenage, Hertfordshire SG1 2BF, UK
3ENT Department, University of Athens, Hippokration General Hospital, 11527 Athens, Greece

Received 7 November 2010; Accepted 7 March 2011

Academic Editor: Stephen A. Klotz

Copyright © 2011 G. X. Papacharalampous et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although unilateral peritonsillar abscess is a common complication of acute bacterial tonsillitis, bilateral peritonsillar abscesses are quite rare. The incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%, while the overall incidence of bilateral peritonsillar abscess is reported to reach 4.9%. Diagnosis can be based on clinical criteria or imaging techniques. As far as the treatment is concerned, it is generally accepted that the basic strategy consists of systemic antibiotics and drainage of the pus. We report the case of a 19-year-old girl, treated in the emergency room with a bilateral diagnostic needle aspiration followed by bilateral incision and drainage along with intravenous clindamycin plus anti-inflammatory agents and hydration. Following treatment, the patient progressively experienced a marked alleviation of her odynophagia. She was discharged 48 hours later on a 10-day course of clindamycin.