title: Evaluation of acute trismus by MRI: a case report. Bilateral peritonsillar cellulitis.
abstract: We describe a rare case of a bilateral peritonsillar cellulitis (PTC). The clinical presentation of fever, trismus and odynophagia was consistent with PTC, more evident on the right side; but the presence of bilateral tonsillar swelling and midline uvula confounded the diagnosis. In spite of the throat examination was performed with a great difficulty due to trismus, the T2 weighted fat saturated STIR magnetic resonance imaging (MRI) guided us to make the diagnosis and to start the intravenous antibiotic treatment immediately.
authors.affiliation: Faculty of Medicine, ENT Department, Kirikkale University, Kirikkale, Turkey. nbayarmuluk@yahoo.com
authors.forename: Nuray
authors.initials: N
authors.lastname: Bayar Muluk
authors.forename: Simay
authors.initials: S
authors.lastname: Altan Kara
authors.forename: Cisel
authors.initials: C
authors.lastname: Yazgan
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging; D008297:Male; D008406:Masseter Muscle / Q000473:pathology*; D012720:Severity of Illness Index; D014069:Tonsillitis / Q000188:drug therapy / Q000473:pathology*; D014313:Trismus / Q000188:drug therapy / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents