A patient has severe unilateral sore throat, trismus, drooling, uvular deviation and a muffled voice. CT performed because of atypical neck swelling

Question

A patient has severe unilateral sore throat, trismus, drooling, uvular deviation and a muffled voice. CT performed because of atypical neck swelling shows a 2.4 cm peritonsillar collection without retropharyngeal spread; the airway is currently stable. What is the best management?

Accepted Answer

Needle aspiration or incision and drainage plus systemic antibiotics and continued airway assessment

Answer

Needle aspiration or incision and drainage plus topical antibiotics and continued airway assessment

Answer

Needle aspiration or incision and drainage plus systemic corticosteroids and continued airway assessment

Answer

Intravenous systemic antibiotics without abscess drainage plus continued inpatient airway assessment

Answer

Emergency tonsillectomy with systemic antibiotics plus continued inpatient airway assessment

Peritonsillar Abscess — SCE Infectious Diseases MCQ

A patient has severe unilateral sore throat, trismus, drooling, uvular deviation and a muffled voice. CT performed because of atypical neck swelling shows a 2.4 cm peritonsillar collection without retropharyngeal spread; the airway is currently stable. What is the best management?