{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:47:57Z","timestamp":1767707277103,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,1,13]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>Tonsillitis is an extremely common condition, usually it is self-limiting, of viral origin, and managed conservatively in general practice. Rarely patients require inpatient management, usually when bacterial infection is present or when the cause is virulent organisms such as Epstein Barr virus. Complications can be divided into non-suppurative; sepsis, scarlet fever, rheumatic fever, glomerulonephritis and Lemierres disease, and suppurative; quinsy, parapharyngeal abscess and retropharyngeal abscess, respectively. Anecdotally, there is concern that modern medical practice that counsels vigilance against overuse of antibiotics, could lead to increased complications of tonsillitis. We report a case of an otherwise healthy man who presented with dysphagia, odynophagia and neck pain following a sore throat. Despite antibiotic treatment he developed an intramural oesophageal abscess, to our knowledge, an unreported complication of tonsillitis.<\/jats:p>","DOI":"10.1136\/bcr-2018-226010","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T04:41:55Z","timestamp":1549514515000},"page":"bcr-2018-226010","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Intramural oesophageal abscess: an unusual complication of tonsillitis"],"prefix":"10.1136","volume":"12","author":[{"given":"Natasha","family":"Amiraraghi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, University Hospital Crosshouse, Kilmarnock, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorna C","family":"Ewan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital Crosshouse, Kilmarnock, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shayan","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University Hospital Crosshouse, Kilmarnock, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Robertson","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital Crosshouse, Kilmarnock, Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,6]]},"reference":[{"issue":"Suppl 1","key":"2025082803182211000_12.2.bcr-2018-226010.1","first-page":"S45","article-title":"Tonsillopharyngitis: clinical highlights","volume":"34","author":"Tewfik","year":"2005","journal-title":"J Otolaryngol"},{"key":"2025082803182211000_12.2.bcr-2018-226010.2","first-page":"B5333","article-title":"Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess","volume":"64","author":"Klug","year":"2017","journal-title":"Dan Med J"},{"key":"2025082803182211000_12.2.bcr-2018-226010.3","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20542"},{"key":"2025082803182211000_12.2.bcr-2018-226010.4","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.03578-14"},{"key":"2025082803182211000_12.2.bcr-2018-226010.5","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1258\/0022215054797853","article-title":"Mediastinitis: a life-threatening complication of acute tonsillitis","volume":"119","author":"Bell","year":"2005","journal-title":"J Laryngol Otol"},{"key":"2025082803182211000_12.2.bcr-2018-226010.6","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-008739"},{"key":"2025082803182211000_12.2.bcr-2018-226010.7","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.gcb.2010.04.009","article-title":"Intramural esophageal dissection due to pharyngeal abscess treated by endoscopic esophageal transection: a case report","volume":"34","author":"Benatta","year":"2010","journal-title":"Gastroenterol Clin Biol"},{"key":"2025082803182211000_12.2.bcr-2018-226010.8","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800520308"},{"key":"2025082803182211000_12.2.bcr-2018-226010.9","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-005-1692-y"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:18:28Z","timestamp":1756376308000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,2,6]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/bcr-2018-226010"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226010","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}