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About the disease

A paratonsillar abscess is called a purulent process in the peri-almondial tissue, in which inflammation first occurs (paratonsillitis), and then a cavity filled with pus forms. In most cases, it develops as a complication of tonsillitis and chronic tonsillitis and is often localized on one side. This is one of the most common infectious and inflammatory diseases of the pharynx. Most often found in people with chronic tonsillitis and people with weakened immune systems.

With late diagnosis or the absence of adequate treatment, sepsis, infectious toxic shock, purulent mediastinitis, bleeding from the vessels of the neck and other life-threatening complications can lead to it.


The main cause of paratonsillar abscess is usually a bacterial infection. Namely: the penetration of infection from the crypts (folds) of the tonsil into the surrounding peri-almond tissue. In the vast majority of cases, the cause of abscess formation is pyogenic streptococcus. Less commonly, Staphylococcus aureus and other microorganisms.

Often, inflammation develops as a complication of tonsillitis or chronic tonsillitis in the absence of timely correct treatment. A risk factor is a weakened immune system associated with inflammatory diseases, diabetes mellitus, immunodeficiency, malnutrition, smoking, and alcohol abuse. Less commonly, the disease develops against the background of caries and trauma to the tissues of the pharynx.

More about the disease

Paratonsillitis is an acute condition against a sore throat or tonsillopharyngitis, as a result of which an infectious agent (bacteria) penetrates into friable peri-amindial fiber (paratonsillar space). The process is always one-sided, as a result of which it has certain symptoms:

• Pain or increased pain on one side;
• Severe difficulty swallowing;
• Swelling and bulging on the neck on one side;
• Asymmetry and swelling of the throat tissues.

A paratonsillar abscess occurs when a pus-filled cavity forms in the peri-almandic (paratonsillar) tissues. It can form in a few days after the development of tonsillitis or exacerbation of tonsillitis. Less commonly, against the background of traumatic damage to the oropharynx or penetration into the tissues around the glands of a foreign body.

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