Bohol Tribune
Opinion

Medical Insider – Dr. Ria P. Maslog

Complicated Upper Respiratory  Infections

Peritonsillar abscess may result as a complication of tonsillitis that may extend to cause parapharyngeal abscess whereas retropharyngeal abscess is considered as a progression of suppurative retropharyngeal adenitis. 
Dental infections, bacterial parotitis and mastoiditis are the other sources of infections. The following organisms are the etiology:- Group A streptococci
– Staph aureus
– anaerobic organisms
– Mycobacterium tuberculosis

Clinically, the patient will have fever, sore throat, and pain on swallowing. Other manifestations include:
– trismus
– drooling of saliva
– swollen soft palate with a fluctuant mass

The patient should be seen by a physician for evaluation and management. 
Laboratories may be needed like lateral neck radiography and a Ct scan that permits a distinction between cellulitis and an abscess. The imaging will also allow visualization of its extent, involvement and potential complications.

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