Acute Abscess of the Base of the Tongue: A Rare But Important Emergency

Vellin, Jean-François; Crestani, Sandra; Saroul, N.; Bivahagumye, Leonard; Gabrillargues, Jean; Gilain, L.

doi:10.1016/j.jemermed.2008.04.047

Cited by 26 publications

(53 citation statements)

References 8 publications

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“…Maintenance of the airway patency based on the location of the abscess, administration of antibiotics and drainage of the abscess are essential for the treatment of lingual abscesses [9]. Since staphylococci, streptococci, haemophilus, bacteroides and anaerobic species which are present within the oral flora are responsible for abscess development, empirical antibiotic treatment should be effective against these microorganisms.…”

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: 99%

“…Since staphylococci, streptococci, haemophilus, bacteroides and anaerobic species which are present within the oral flora are responsible for abscess development, empirical antibiotic treatment should be effective against these microorganisms. However, mixt infections should also be taken into consideration [2,9].…”

Section: Discussionmentioning

confidence: 99%

Lingual abscess in a heavy smoker

Akbaş¹,

Koçak²,

Çakmak³

et al. 2017

Clin Case Rep Rev

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“…[7][8][9] Tanıda ultrasonografi (USG), BT, manyetik rezonans görüntüleme (MRG) kullanılabilir. USG ile abse ayırımı yapılabilse de dil kökünde yerleşen abselere teknik olarak ulaşabilmek zordur.…”

Section: Discussionunclassified

Spontaneous Tongue Abscess in Adult

Güngör¹,

Saygili²,

Baklacı³

et al. 2017

KBB ve BBC Dergisi

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ÖZETDil absesi nadir görülen bir durumdur. Dil abseleri sıklıkla diyabetus mellitus, dental enfeksiyonlar, immünsupresyon gibi altta yatan başka bir nedene bağlı olarak gelişir ancak nadiren spontan olarak da gelişebilmektedir. Dil abseleri sıklıkla tek taraflı ve dil ön kısmında direkt travmaya bağlı gelişirler. Bu olgumuzda nadir görülmesi nedeniyle ve kronik hepatit B taşıyıcılığı dışında bilinen ek hastalığı olmayan 53 yaşında erkek hastada spontan gelişen dil absesi olgusu literatür eşliğinde tartışıldı. Anahtar Sözcükler Dil; apse; erişkin ABSTRACTTongue abscess is a rare clinical entity. This condition usually occurs due to an underlying disease like diabetus mellitus, dental infections or ümmunsup-ression. Tongue abscess is more frequently found on the anterior portion of the tongue and is usually unilateral, being related to direct trauma. In this article, we present a case of spontaneous tongue abscess developing in a 53 year old male patient in the light of literature. Keywords

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“…Mortality ranges between 25 to 30%, as a consequence of obstruction of the upper airway [5, 6]. Differential diagnosis of lingual abscess should also include hemorrhage, neoplasia, anaphylaxis, infected dermoid cysts, lingual artery aneurysm, lingual tonsillitis, tuberculosis, actinomycosis, and metabolic macroglossia [7, 8]. …”

Section: Discussionmentioning

confidence: 99%