Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • spiking fever
  • drooling
  • neck pain or torticollis
  • odynophagia
  • dysphagia
  • neck swelling/mass/lymphadenopathy
  • oropharyngeal swelling

Other diagnostic factors

  • decreased oral intake
  • anorexia
  • malaise
  • irritability
  • trismus
  • dysphonia
  • dyspnea
  • fatigue
  • sleep apnea
  • stridor
  • tonsillar swelling
  • increased respiration rate
  • decreased oxygen saturations
  • cyanosis
  • tachypnea
  • tracheal tug
  • intercostal recession

Risk factors

  • foreign body ingestion
  • trauma to posterior pharyngeal wall
  • dental caries/infection
  • diabetes mellitus
  • male sex
  • adenotonsillectomy

Diagnostic investigations

1st investigations to order

  • CBC
  • ESR
  • CT neck with contrast
  • x-ray of neck
  • ultrasonography of neck
  • examination under anesthetic (EUA)
  • culture
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Carl Philpott

Consultant in ENT & Rhinology

James Paget University Hospital

Great Yarmouth

UK

Disclosures

CP is an author of a number of references cited in this monograph.

Speciality Registrar, Health Education East of England

Department of ENT

James Paget University Hospital

Great Yarmouth

UK

Disclosures

LL declares that she has no competing interests.

Dr Carl Philpott and Dr Lorna Langstaff would like to gratefully acknowledge Dr Asad Qayyum, Dr Kevin Kulendra, Dr Cameron Davies-Husband, and Dr Marcos Martinez Del Pero, previous contributors to this monograph. AQ, KK, CDH, and MMDP declare that they have no competing interests.

Peer reviewers VIEW ALL

Otolaryngologist

Head and Neck Surgeon

VU University Medical Center

Amsterdam

The Netherlands

Disclosures

RdB declares that he has no competing interests.

Director

Assistant Professor

Emory University

Atlanta

GA

Disclosures

MJ declares that he has no competing interests.

Assistant Professor

Tufts University

Boston

MA

Disclosures

LS declares that she has no competing interests.

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