What symptoms are associated with a peritonsillar abscess in older children?

A peritonsillar abscess is a collection of pus that forms near the tonsils, often resulting from bacterial infection. In older children, the symptoms associated with a peritonsillar abscess typically include a "hot potato" voice, which refers to a muffled or altered sound of speech due to swelling in the throat, making it difficult to speak clearly. The physical examination often reveals the uvula deviated to one side, indicating pressure and displacement caused by the abscess on the surrounding structures.

These specific symptoms arise from the inflammation and swelling in the throat that characterizes a peritonsillar abscess. The compromised anatomy of the oropharynx leads to difficulties in articulation and can also obstruct the airway, further contributing to respiratory distress or difficulty swallowing.

Other symptoms of a peritonsillar abscess can include severe sore throat, fever, and difficulty swallowing, but the hallmark signs of a hot potato voice and unilateral uvular shift are particularly distinctive and critical in recognizing this condition.