Medical treatment with antibiotics, volume repletion with fluids, and pain medication is usually adequate, although in cases where airway obstruction or systemic sepsis occurs, surgical drainage may be necessary. Steroids may also be useful. Admission to hospital is generally not needed. Medication The infection is frequently penicillin resistant. There are a number of antibiotics options including amoxicillin/clavulanate, clindamycin, or metronidazole in combination with benzylpenicillin (penicillin G) or penicillin V. Piperacillin/tazobactam may also be used. Surgery The pus can be removed by a number of methods including needle aspiration, incision and drainage, and tonsillectomy. Incision and drainage may be associated with a lower chance of recurrence than needle aspiration but the evidence is very uncertain. Needle aspiration may be less painful but again the evidence is very uncertain. Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients. Tonsillectomy can be indicated if a patient has recurring<unk> es or a history of tonsillitis. For patients with their first<unk>  most ENT-surgeons prefer to "wait and observe" before recommending tonsillectomy.
Peritonsillar abscess
Epiglottitis
Retropharyngeal abscess
Infectious mononucleosis
Parapharyngeal abscess
Adenoiditis
Streptococcal pharyngitis
Tonsillitis