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Complications Spread of the infection into the peritonsillar space may result in peritonsillar abscess (Quinsy) Spread into the retropharyngeal or parapharyngeal spaces is classified as a deep neck space abscess which requires prolonged IV antibiotics and sometimes surgical drainage Recurrent tonsillitis not strictly a complication of an acute episode of tonsillitis, but children may often suffer from recurrent episodes of acute tonsillitis which can result in prolonged time off school (see above for indications for tonsillectomy) Post streptococcal conditions A detailed discussion of post streptococcal conditions is beyond the scope of this article, however a brief summary of the two main concerning sequelae are below: Post streptococcal glomerulonephritis (PSGM) PSGM is overwhelmingly more common in children (usually ages 6-8)