Introduction: Peritonsillar abscess (PTA), commonly referred to as quinsy, represents a localized purulent collection within the peritonsillar space. This condition is recognized as a suppurative complication arising from both acute and recurrent episodes of tonsillitis. A retrospective cross-sectional analysis of 245 PTA cases revealed that nearly half had prior antibiotic use, and recurrence was more common in older patients. PTA showed no significant seasonal variation and was rare in children. However, the infection typically arises from the spread of pus from the tonsillar capsule into the surrounding spaces, necessitating urgent medical intervention due to risks such as airway obstruction, which can be particularly serious in children. The review focused on pediatric PTA cases, covering infants to 18-year-olds (average age 12). Management strategies depended on patient age and procedure tolerance, prioritizing drainage, antibiotics, and sometimes tonsillectomy. The study concluded that a history of throat infections was more influential in treating pediatric PTA than previously thought, underscoring the need for individualized management protocols. Objective: To compare conventional and homoeopathic management of quinsy, highlight complications, and evaluate miasmatic theory’s relevance. Methodology: This review comprehensively analyzed 50 carefully selected articles from PubMed and Google Scholar. Recognizing the limited availability of direct homoeopathic literature on PTA, the review also incorporated studies on homoeopathic interventions in diseases that pose a threat of developing into PTA. Conclusion: This review emphasizes that early homoeopathic intervention in PTA can effectively prevent disease progression and recurrence by addressing the patient’s totality of symptoms and miasmatic predisposition, presenting as a viable alternative to conventional treatment.
Nilesh Pradeep Choudhari (Thu,) studied this question.