Sounds like a British delicacy

A 29 y/o graduate student presents with a 4 day history of fever, chills, sore throat and dysphagia.  She denies sick contacts or multiple sexual partners.  Her BP is 116/76, pulse 104, respirations 18, temperature 39.8C (102.2F).  On exam, her voice is muffled.  Pooling of saliva and trismus is noted.  She has cervical lymphadenopathy and a deviated uvula.

This is a condition known as peritonsillar abscess, or quinsy,, often a complication of acute tonsillitis.  Occurs in patients 15-30 with all the aforementioned symptoms.  Treatment consists of needle drainage in the Trendelenburg position, close monitoring and IV antibiotics.


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