Tuberculous Peritonsillar Abscess: A Case Report in Malaysia

摘要

Tonsillitis is one of the most common presentations to the primary care clinic. Majority of the tonsillitis is viral etiology and occasionally is caused by bacteria such as streptococcal pharyngo-tonsillitis. However, if tonsillitis lasts longer than a week and associated with cervical lymph nodes, other differential diagnoses should be considered. This case report illustrated a patient who presented with fever, sore throat and odynophagia which lasted for one week then developed trismus. Examination revealed a left tonsillar hypertrophy with soft palate swelling and pus aspirated from the tonsil revealed positive smear to Acid-fast Bacilli and he responded to anti-tuberculosis treatment.