Peritonsillar abscess in an infant with congenital bone marrow failure. (September 2019)

• Record Type: Journal Article
• Authors: Pericleous, Agamemnon; Wilkinson, Sophie; Gerrish, Amy; Daniel, Mat
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 124(2019:Sep.)
• Page Start: 200
• Page End: 202
• Publication Date: 2019-09
• Subjects: Quinsy -- Immunosuppression -- Child; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2019.05.037
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Peritonsillar abscess is extremely rare in infants and is potentially life-threatening. We report the case of a 3 month old infant with a background of congenital bone marrow failure who presented with sepsis and desaturation requiring intubation and PICU care. Ultrasound and CT scan revealed an inflammatory mass. Examination in theatre revealed a self-draining quinsy. Following formal drainage in theatre, the child improved and was extubated uneventfully 1 day later. Prompt surgical and medical management as well as the presence of a well-coordinated multidisciplinary team are crucial in ensuring the adequate management of complex paediatric patients.