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VOLUME 14 , ISSUE 3 ( September-December, 2022 ) > List of Articles

CASE REPORT

A Rare Cause of Unilateral Tonsillar Enlargement

Yee Hau Tan, Nik Hisyam Amirul Nik Hishammuddin

Keywords : Case report, Globus sensation, Hoarseness, Intratonsillar abscess, Tonsillar disease

Citation Information : Tan YH, Hishammuddin NH. A Rare Cause of Unilateral Tonsillar Enlargement. Int J Otorhinolaryngol Clin 2022; 14 (3):108-109.

DOI: 10.5005/jp-journals-10003-1410

License: CC BY-NC 4.0

Published Online: 20-03-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Intratonsillar abscess is a rare entity of tonsillar disease. It is defined as focal areas of neutrophils and necrotic debris within the parenchyma of the tonsil. To date, only 48 cases have been reported including the case report and case series so far from our literature review. It was found to mainly occur in young age of less than 20 years old. It is important not to be overlooked as one of the differential diagnoses of unilateral tonsillar hypertrophy especially in the elderly age-group. The treatment modalities may vary among centers for which there is no gold standard treatment for the intratonsillar abscess. This is a case report of intratonsillar abscess in a 68-year-old man. In this case, incision and drainage were performed with 1 week intravenous antibiotic coverage. Patient had complete resolution of symptoms after 5 days of treatment. The purpose of this study is to discuss on the rarity of the intratonsillar abscess in elderly male and treatment modality in intratonsillar abscess.

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  1. Karamchandani D, El-Shunnar SK, Fussey JM, et al. An unusual cause of tonsillar asymmetry. Ann R Coll Surg Engl 2017;99(3):e112–e113. DOI: 10.1308/rcsann.2017.0019.
  2. Childs EW, Baugh RF, Diaz JA. Tonsillar abscess. J Natl Med Assoc 1991;83(4):333. PMID: 1920506.
  3. Giurintano JP, Kortebein S, Sebelik M, et al. Intratonsillar abscess: a not-so-rare clinical entity. Int J Pediatr Otorhinolaryngol 2019;119: 38–40. DOI: 10.1016/j.ijporl.2018.12.039.
  4. Yang ML, Lee JC, Hsu CH, et al. Intratonsillar abscess: diagnosis and treatment of a rare disease. Eur J Inflamm 2012;10(1):117–119. DOI: 10.1177/1721727X1201000114.
  5. Blair AB, Booth R, Baugh R. A unifying theory of tonsillitis, intratonsillar abscess and peritonsillar abscess. Am J Otolaryngol 2015;36(4): 517–520. DOI: 10.1016/j.amjoto.2015.03.002.
  6. Wang AS, Stater BJ, Kacker A. Intratonsillar abscess: 3 case reports and a review of the literature. Int J Pediatr Otorhinolaryngol 2013;77(4):605–607. DOI: 10.1016/j.ijporl.2012.12.034.
  7. Hsu CH, Lin YS, Lee JC. Intratonsillar abscess. Otolaryngol Head Neck Surg 2008;139(6):861–862. DOI: 10.1016/j.otohns.2008.09.010.
  8. Singh GB, Kumar D, Arora R, et al. A rare case of intratonsillar abscess in an adult. Clin Pract 2015;5(4):804. DOI: 10.4081/cp.2015.804.
  9. Ulualp SO, Koral K, Margraf L, et al. Management of intratonsillar abscess in children. Pediatr Int 2013;55(4):455–460. DOI: 10.1111/ped.12141.
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