A Rare Cause of Acute Dysphagia: Abscess of the Base of the Tongue

Ozgur, Gokhan; Akdoğan, Mehmet; Unler, Gulhan Kanat; Gokturk, Huseyin Savas

doi:10.1155/2015/431738

Cited by 9 publications

(19 citation statements)

References 9 publications

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“…It is essential to evaluate underlying medical problems and trauma. However, no specific cause can be identified in some cases [3]. No history of trauma, no history of a chronic disorder, foreign body or bite was present in our case with anterior abscess.…”

Section: Discussionmentioning

confidence: 55%

“…Although the tongue is in contact with numerous pathogens, it is highly resistant to infections. Thick keratinized mucosal layer, which is resistant to penetration of microorganisms, bulky muscle tissue, rich vascular and lymphatic drainage, cleaning effect of constant motion of the tongue and immunological properties of saliva lead to the high resistance of tongue against infections [3]. The infection rate increases particularly when integrity of tongue mucosa, which functions as mechanical barrier against microorganisms and first line of defense, is impaired [1].…”

Section: Discussionmentioning

confidence: 99%

“…Immunocompromised status, poor oral hygiene, chemotherapeutic agents and diabetes mellitus are among predisposing factors for development of lingual abscess [3]. Irregular or rotten teeth, improper denture prostheses, trauma caused by bites or foreign bodies such as fish bones, and body piercings are the most common etiological factors for the anterior abscesses [7].…”

Section: Discussionmentioning

confidence: 99%

“…When the disease worsens, it may lead to dyspnea and dysphagia, necessitating urgent decompression [3].…”

Section: Discussionmentioning

confidence: 99%

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Lingual abscess in a heavy smoker

Akbaş¹,

Koçak²,

Çakmak³

et al. 2017

Clin Case Rep Rev

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Lingual abscess is an extremely rare disease that misdiagnose may lead to sepsis and/or airway obstruction. A 50-year-old male patient was admitted to our emergency service with complaints of swelling of his tongue, pain and dysphagia. The swelling and pain had started 4 days ago and had been increasing gradually. Additionally, over the last 24 hours, dysphagia and difficulty in speaking developed. He was a heavy smoker (2 packets/day for 35 years). His medical history revealed neither a predisposing factor such as a chronic disorder including immunosuppression nor recent history of oral trauma. His physical examination revealed poor oral hygiene and a red, swollen tongue. There were two painful, protuberant lesions with purulent discharge: one located over the tongue and the other located sublingually. He had hoarse voice and saliva was discharging from his mouth. He had fever, leukocytosis and elevated C-reactive protein. Fine needle aspiration was performed and broad spectrum antibiotics were given. The culture result revealed gram-positive cocci and anaerobes. The patient was discharged at his 8 th day of admission, following regression of his symptoms. In conclusion, this case leads us to suggest that smoking may be an etiological factor in the development of lingual abscess in patients with no other identifiable etiological factors. Although clinical explanations related to lingual abscess are not generally mentioned in the majority of classical essential textbooks, emergency service physicians and head-neck surgeons should be aware of this situation which may lead to fatal consequences.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…When the disease worsens, it may lead to dyspnea and dysphagia, necessitating urgent decompression [3].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Lingual abscess in a heavy smoker

Akbaş¹,

Koçak²,

Çakmak³

et al. 2017

Clin Case Rep Rev

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show abstract

“…6 Over the past 40 years, approximately 70 cases of glossal abscess have been reported in the English literature. 3,[7][8][9][10] The usual symptom with which the patient presents is acute and tender swelling of the tongue. It may develop within hours or days.…”

Section: Review Of Literature With Discussionmentioning

confidence: 99%

Glossal Abscess: An Unusual Presentation

Goyal¹,

Karjodkar²,

Sansare³

et al. 2016

An International Journal of Otorhinolaryngology Clinics

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Tongue is an organ, i.e., constantly exposed to microbes and likelihood of trauma, yet does not usually show a predilection for developing an abscess. Cases of acute lingual swelling due to an abscess are unusual; hemorrhage, infarction, edema, and tumor being the commonly responsible etiologies. Herein, we report a case of glossal abscess that was chronic in nature (2 months' duration), presenting with uncharacteristic symptoms and no remission on taking antibiotics. In the absence of typical signs, Magnetic resonance imaging (MRI) provided an invaluable and accurate diagnosis, which allowed proper treatment to be rendered.

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Lingual Abscess in the Setting of Recent Periodontal Antibiotic Injections

Lefler

Masullo

2016

The Journal of Emergency Medicine

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A Rare Cause of Acute Dysphagia: Abscess of the Base of the Tongue

Cited by 9 publications

References 9 publications

Lingual abscess in a heavy smoker

Lingual abscess in a heavy smoker

Glossal Abscess: An Unusual Presentation

Lingual Abscess in the Setting of Recent Periodontal Antibiotic Injections

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