Although unilateral peritonsillar abscesses (PTA) are a common complication of acute bacterial tonsillitis, bilateral PTA are quite rare. We present the case of a 14-year-old female teenager with a 1-week history of acute tonsillitis. Physical examination revealed significant trismus, symmetrically inflamed tonsils and soft palate, and a midline uvula. A contrast-enhanced CT scan of the neck demonstrated bilateral PTA. After bilateral needle aspiration and administration of antibiotics, complete disease resolution was rapidly achieved. Patients with bilateral PTA present a diagnostic dilemma because they do not demonstrate the classic asymmetric signs and symptoms seen in the more prevalent unilateral PTA. Contrast-enhanced CT imaging can help diagnose bilateral PTA and should be considered in the presence of marked trismus but with the absence of unilateral inflammatory findings.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amjoto.2006.03.010 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prevalence of High Frequency Noise-Induced Hearing Loss Among Medical Students Using Personalized Listening Devices.
J Clin Med
December 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Bhaarath Medical College, Chennai 600073, Tamil Nadu, India.
The misuse of personalized listening devices (PLDs) resulting in noise-induced hearing loss (NIHL) has become a public health concern, especially among youths, including medical students. The occupational use of PLDs that produce high-intensity sounds amplifies the danger of cochlear deterioration and high-frequency NIHL especially when used in noisy environments. This study aims to evaluate the incidence and trends of NIHL among medical students using PLDs.
View Article and Find Full Text PDFNoise Exposure History and Age-Related Changes to Hearing.
JAMA Otolaryngol Head Neck Surg
January 2025
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
Importance: Noise exposure is a major modifiable risk factor for hearing loss, yet it is not known whether it affects the rate of hearing decline in aging.
Objective: To determine the association of noise exposure history with the rate of pure-tone threshold change per year.
Design, Setting, And Participants: This longitudinal cohort study was conducted in the ongoing community-based Medical University of South Carolina Longitudinal Cohort Study of Age-Related Hearing Loss (1988 to present with the sample based in Charleston, South Carolina, and surrounding area).
Neural correlates of age-related hearing loss: An MRI and FDG-PET study.
Geriatr Gerontol Int
January 2025
Research Team for Neuroimaging, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan.
Aim: Age-related hearing loss (ARHL) is a common problem among older adults and contributes to adverse health outcomes such as cognitive impairment. However, the neural mechanisms underlying ARHL remain unclear. We aimed to reveal the structural and metabolic (i.
View Article and Find Full Text PDFKissing balloon treatment for stenosis of the internal and external carotid artery orifice associated with moyamoya disease: illustrative case.
J Neurosurg Case Lessons
December 2024
Department of Neurosurgery, Nara City Hospital, Nara, Nara, Japan.
Article Synopsis
- - Moyamoya disease (MMD) is a cerebrovascular condition marked by narrowing of the internal carotid artery (ICA), with some patients also experiencing stenosis in the external carotid artery (ECA), though this is uncommon.
- - A 48-year-old woman with no prior health issues presented with serious neurological symptoms and imaging revealed significant stenosis in both the ICA and ECA, leading to her diagnosis of MMD.
- - The treatment involved a combination of percutaneous transluminal angioplasty (PTA) with a kissing balloon technique, followed by direct and indirect revascularization, showing potential effectiveness despite ongoing debates on the best treatment sequence.
Consistency of hearing aid use, speech perception and vocabulary in hearing impaired children.
Codas
November 2024
Pontifícia Universidade Católica de São Paulo - PUC-SP - São Paulo (SP), Brasil.
Purpose: To verify the relationship between consistency in the use of hearing aids, auditory speech perception and vocabulary in children using hearing aids.
Methods: The population of Pereira's (2023) study was resumed and the database was analyzed containing information about the Speech Intelligibility Index (SII) for input sounds of 65 dBSPL (with or without hearing aids) of 29 children with neurosensorial hearing loss and hearing aid users bilaterally, with oral language, the number of hours per day of use of the device, four-tone average, results of the repetition of words with or without meaning in 65 dBSPL, Peabody Picture Vocabulary Test - PPVT. The consistency of the use was analyzed through measuring the auditory dosage which takes into account the average of use hours and the audibility with or without the device.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!