ABC's
ENT Consult for potential surgical drainage
Antibiotics (ampicillin-sulbactam, clindamycin, penicillin plus metronidazole)
Analgesia
Parapharyngeal space infection
Streptococcal pharyngitis 
Buccal space infections
Neisseria gonorrhoeae
Nasal foreign body
Diphtheria 
Retropharyngeal abscess
Bacterial Tracheitis