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Evaluation of acute trismus by MRI: a case report : Bilateral peritonsillar cellulitis.

Bayar Muluk N, Altan Kara S, Yazgan C

Faculty of Medicine, ENT Department, Kirikkale University, Kirikkale, Turkey.

We describe a rare case of a bilateral peritonsillar cellulites (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.

Published 6 November 2006 in Eur Arch Otorhinolaryngol, 263(12): 1139-41.
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