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)