Evaluation of acute trismus by MRI: a case report. Bilateral peritonsillar cellulitis.
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.
Bayar Muluk
Nuray
N
Faculty of Medicine, ENT Department, Kirikkale University, Kirikkale, Turkey. nbayarmuluk@yahoo.com
Altan Kara
Simay
S
Yazgan
Cisel
C
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*
D000900:Anti-Bacterial Agents