Painless Peri-Tonsillar Abscess in a Pediatric Patient: Case Report and Review of the Literature

Author Info

Christopher Jabbour Randa Barazi

Corresponding Author

Randa Barazi
Department of Otorhinolaryngology Head and neck surgery-American University of Beirut Medical Center, Beirut, Lebanon

A B S T R A C T

Crohn’s disease is an immune mediated inflammatory disease that affects the gastrointestinal tract anywhere from the oral cavity proximally, to the anus distally. A large number of patients with Crohn’s disease may present with a multitude of oropharyngeal manifestations, such as mucositis, granulomas and ulcerations. Infliximab, a monoclonal antibody that binds to TNFα, is a treatment modality used in the management of Crohn’s disease. 10% to 30% of patients with Crohn’s disease develop intra-abdominal abscesses in the course of the disease, a finding that is much less common in oropharyngeal manifestations. We herein present the case of a painless peri-tonsillar abscess in a patient with Crohn’s disease maintained on infliximab that required surgical drainage as means of treatment. To our knowledge, this is the first case demonstrating such a finding in a patient that is maintained on infliximab.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Mon 23, Mar 2020
Accepted: Wed 15, Apr 2020
Published: Sat 18, Apr 2020

Copyright

© 2023 Randa Barazi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JSO.2020.02.04