Quinsy (Peritonsillar Abscess)

What is Quinsy (Peritonsillar Abscess)?

  • A peritonsillar abscess (quinsy) is a pus-filled collection near the tonsil in the throat.
  • Most commonly occurs as a complication of tonsillitis or pharyngitis.
  • Usually caused by bacterial infections (e.g., streptococcus, staphylococcus).
  • Common in adolescents and young adults.

Symptoms of Quinsy (Peritonsillar Abscess)

  • Severe unilateral sore throat
  • Painful swallowing (odynophagia)
  • Difficulty swallowing (dysphagia)
  • Fever and chills
  • Ear pain on same side
  • Drooling
  • Muffled “hot potato” voice

Complications of Quinsy (Peritonsillar Abscess)

  • Airway obstruction (life-threatening)
  • Spread to: Neck spaces, Lungs , Bloodstream (sepsis)
  • Respiratory distress if untreated

Diagnosis of Quinsy (Peritonsillar Abscess)

  • Clinical examination (often sufficient)
  • Throat culture / blood tests
  • Imaging (CT/ultrasound) if deep infection suspected

Treatment of Quinsy (Peritonsillar Abscess)

  • Primary management
    • Drainage of abscess (needle aspiration or incision)
    • Antibiotics (penicillin, amoxicillin, clindamycin)
  • Additional management
    • IV fluids (if dehydration)
    • Pain management
    • Tonsillectomy (in recurrent cases)
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