The symptoms presented by the patient include fever and dysphagia, combined with an image description of a pushing tonsil. This clinical presentation is indicative of a specific oropharyngeal condition. Let's examine the options provided:
Parapharyngeal abscess: This condition involves an infection in the parapharyngeal space, leading to symptoms such as neck swelling, trismus, and possibly dysphagia, but it is not typically associated with pushing of the tonsil.
Retropharyngeal abscess: This abscess involves the retropharyngeal space and can lead to difficulty swallowing (dysphagia), high fever, and neck stiffness. It doesn’t typically cause unilateral tonsillar enlargement.
Peritonsillar abscess: This condition, also known as quinsy, is characterized by the collection of pus beside the tonsil, leading to marked unilateral swelling and pushing of the tonsil. Symptoms include severe throat pain, dysphagia, a hot potato voice, and fever.
Ludwig's angina: This is a dangerous cellulitis involving the submandibular space and usually presents with swelling of the neck, difficulty breathing, and dysphagia, rather than any tonsillar push.
Given the symptomatology of fever and dysphagia with an image demonstrating a pushing tonsil, the correct diagnosis is a peritonsillar abscess. This condition fits the description and is the best match among the clinical options provided.
