What's a Peritonsillar Abscess? A peritonsillar abscess is an area of pus-filled tissue at the back of the mouth, next to one of the tonsils. The abscess can be very painful and make it difficult to open the mouth. It can also cause swelling that can push the tonsil toward the uvula (the dangling fleshy object at the back of the mouth). This can block the throat, making it hard to swallow, speak, and sometimes even breathe. An abscess that's not promptly treated can lead to a spread of the infection into the neck and chest, and other serious complications. What Causes a Peritonsillar Abscess? Most peritonsillar abscesses are caused by the same bacteria (group A streptococcus) that cause strep throat. Sometimes other types of bacteria are also involved. Peritonsillar abscesses usually happen as a complication of tonsillitis, when the infection spreads from a tonsil into the space around it. Fortunately, these kinds of abscesses are uncommon because doctors use antibiotics to treat tonsillitis. Tooth or gum disease and smoking can increase a person's chances of developing an abscess. What Are the Signs of a Peritonsillar Abscess? The first sign of a peritonsillar abscess usually is a sore throat. As the abscess develops, other symptoms start, such as: red, swollen tonsils tender, swollen glands (lymph nodes) on one side of the neck a tonsil that's pushing against the uvula severe pain on one side of the throat difficulty and pain when swallowing or opening the mouth fever and chills headache earache drooling a muffled or hoarse voice An abscess that goes untreated for a long time can lead to serious complications — for example, the infection may spread into the jaw, neck, and chest. If the abscess ruptures, the infection may lead to pneumonia. How Is a Peritonsillar Abscess Diagnosed? Call a doctor if your child has a sore throat along with a fever or any of the other symptoms of a peritonsillar abscess. It's rare that an abscess will restrict breathing, but if it does, you might need to take your child to the emergency room right away. The doctor will examine your child's mouth, throat, and neck. The doctor also might do a throat culture and a blood test. Rarely, a doctor may order a CT scan or ultrasound to help make the diagnosis. How Is a Peritonsillar Abscess Treated? The usual treatment for a peritonsillar abscess involves draining it. This can be done in a doctor's office by withdrawing the pus with a needle (called aspiration) or making a small cut in the abscess with a scalpel so the pus can drain out. If this doesn't work, the tonsils might need to be removed in a tonsillectomy. This is especially true for kids who have had multiple recent cases of tonsillitis or a prior peritonsillar abscess. Kids who have a tonsillectomy may need a brief stay in the hospital. That way, doctors can keep an eye on them to make sure everything went as planned. The doctor probably will prescribe pain relievers and antibiotics. Make sure your child finishes the full course of antibiotics, even if he or she feels better after a few days. Otherwise, the infection could come back. The quicker a peritonsillar abscess is diagnosed, the easier it is to treat. So if you notice symptoms, call your doctor right away. Can Peritonsillar Abscesses Be Prevented? Practicing good oral hygiene can help kids avoid getting a peritonsillar abscess. And teens shouldn't smoke because — among other health risks — smoking can increase their chances of developing an abscess. Back to Articles Related Articles Abscess An abscess is a sign of an infection, usually on the skin. Find out what to do if your child develops one. 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If you don't wash your hands frequently, you can pick up germs from other sources and then infect yourself. Read More Peritonsillar Abscess A peritonsillar abscess is an area of pus-filled tissue at the back of the mouth, next to one of the tonsils. Find out how it happens and what to do. Read More Strep Throat Strep throat is a common cause of sore throat in kids and teens. It usually requires treatment with antibiotics, but improves in a few days. Read More Strep Throat Strep throat is a common infection that usually needs to be treated with antibiotics. Find out how to recognize the signs of strep throat and what to expect if you have it. Read More Tonsillitis If your tonsils get infected, it can make your throat feel very sore. Find out more in this article for kids. Read More Tonsillitis You wake up and your throat is swollen and you have a fever. Could it be tonsillitis? Find out what tonsillitis is, how to treat it, and how to prevent it. Read More Mouth and Teeth Our mouth and teeth play an important role in our daily lives. Here's a course on the basics - including common problems of the mouth and teeth. Read More Tonsillitis Tonsillitis is an infection that makes tonsils swollen and red. It can cause a sore throat, fever, swollen glands, and trouble swallowing. Read More Strep Throat Strep throat gives you a sore throat and makes it hard to swallow. Find out more in this article for kids. Read More Germs: Bacteria, Viruses, Fungi, and Protozoa Germs are tiny organisms that can cause disease - and they're so small that they can creep into your system without you noticing. Find out how to protect yourself. Read More Hand Washing: Why It's So Important Washing your hands well and often is the best way to keep from getting sick. Here's how to teach this all-important habit to your kids. Read More Note: All information is for educational purposes only. 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