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Infectious mononucleosis and bilateral peritonsillar abscesses resulting in airway obstruction

Published online by Cambridge University Press:  29 June 2007

P. P. Burstin  and
C. L. Marshall
P. P. Burstin*
Affiliation:
Department of Otolaryngology, Beaumont Hospital, Dublin, Ireland.
C. L. Marshall
Affiliation:
Department of Otolaryngology, Beaumont Hospital, Dublin, Ireland.
*
Address for correspondence: Mr P. P. Burstin, M.B., B.S., F.R.A.C.S., Department of Otolaryngology, Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, Victoria 3002, Australia. Fax: 61-3-9827-0773
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Abstract

Upper airway obstruction is an uncommon but recognized complication of infectious mononucleosis. The management depends upon the degree of airway compromise. In the case described, severe airway obstruction was treated by securing the airway with awake fibre-optic endoscopic intubation and then proceeding to tonsillectomy. Bilateral inferiorly loculated quinsies were encountered unexpectedly and drained. This is the first report of ‘bilateral’ quinsies, associated with infectious mononucleosis and severe airway obstruction. The association, pathogenesis and significance of this finding are also discussed.

Keywords

Infectious mononucleosisPeritonsillar abscessAirway obstruction
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 12 , December 1998 , pp. 1186 - 1188
Copyright
Copyright © JLO (1984) Limited 1998

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