شاب عنده التهاب لوزتين منذ أيام، وصار لا يستطيع فتح فمه جيداً، وصوته مثل من في فمه بطاطس ساخنة، واللهاة منحرفة لجهة. ما التشخيص الأرجح؟

A young man with tonsillitis for some days can barely open his mouth, has a ‘hot potato’ voice and a deviated uvula. What is the likely diagnosis?

1. Adult epiglottitis
2. Jaw spasm from muscle strain
3. Simple viral tonsillitis
4. Peritonsillar abscess

Answer: D) Peritonsillar abscess. Peritonsillar abscess complicates tonsillitis, with trismus, a muffled voice, uvular deviation and dysphagia. It needs drainage and antibiotics, with airway monitoring.