An eight years old girl has presented to pediatric emergency with a recent history of febrile odynophagie subsequently complicated by a torticollis that has settled 5days after. Clinical examination has found a febrile child at 39 C and a bulging anterior pillar of the right tonsil without rash or conjunctival hyperemia. CT scan was performed and has revealed right peritonsillar and parapharyngeal abscess (Figure 1). At laboratory tests we found a white blood cell count (WBC) of 14000/mm3 and C - reactive protein (CRP) of 102mg / l. The child underwent a trans-oral drainage of the abscess under general anesthesia and airway protection. The bacteriological sampling objectified mixed unspecific flora sensitive to amoxicillin-clavulanic acid with no evidence of mycobacterium tuberculosis. Antibiotherapy was prescribed based on amoxicilline- clavulanic acid (80mg/kg a day) and aminoglycoside (3mg/kg a day for 5 days). The child was apyretic 48 hours after, and C- reactive protein 72 hours later was at 45 mg/l. Cervical spine traction was not necessary since the torticollis has been resolved after 5 days.