Clinical and Diagnostic Aspect of Tongue Abscess

Mesolella, Massimo; Allosso, Salvatore; Iorio, Brigida; Motta, Giovanni

doi:10.1177/0145561320933961

Cited by 9 publications

(18 citation statements)

References 8 publications

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“…For anterior lingual abscesses, predisposing factors include heavy smoking, local trauma, poor dental and salivary health, and, most commonly, impaction of foreign body (fishbone, toothbrush bristles, toothpick, etc.) [1][2][3]7]. For posterior lingual abscesses, the dominating factors are lingual tonsillitis and infected thyroglossal duct cyst [2,3,7].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, poor salivary clearance results in stagnation and colonization of saliva, potentially compromising the epithelial covering, thus, creating a passageway for microbial seeding. The main pathogens causing lingual abscesses include Streptococcus spp, Staphylococcus spp, gram-negative rods, and anaerobes [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…The most commonly described presentation of lingual abscesses includes odynophagia, dysphagia, painful tongue, poor tongue mobility, and dysarthria [2]. Additionally, fever may or may not be present, depending on the depth and dissemination of the abscess [1]. Most tongue abscesses are unilateral and anterior [6].…”

Section: Discussionmentioning

confidence: 99%

“…A lingual abscess is a rare condition that was scarcely described in clinical textbooks [1][2][3]. Most literature surrounding this condition has only been described in case reports.…”

Section: Introductionmentioning

confidence: 99%

“…Even more rare is a lingual abscess recurrence, which has only been described twice in the literature [4,5]. Since lingual abscesses have the potential to develop into catastrophic obstructive airway issues, early detection and management are paramount [1][2][3]6]. The following is a presentation of an elderly female with Bulbar Amyotrophic Lateral Sclerosis (ALS) treated for recurrent lingual abscesses.…”

Section: Introductionmentioning

confidence: 99%

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Recurrent Lingual Abscess in an Elderly Female With Bulbar Amyotrophic Lateral Sclerosis

Carotenuto¹,

Menke²,

Jolton³

et al. 2022

Cureus

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A lingual abscess is a rare condition that was scarcely described in clinical textbooks. A lingual abscess recurrence is rare and has only been described twice in the literature. Typically, the tongue and oral cavity have multiple intrinsic properties which stave off intralingual infection; however, there may be situations in which these properties are compromised, as demonstrated in oro-motor disability. Lingual abscesses have the potential to develop into catastrophic obstructive airway issues; therefore, early detection and management are paramount. The following is a presentation of an elderly female with Bulbar Amyotrophic Lateral Sclerosis (ALS) treated conservatively for a lingual abscess with recurrence at eleven months posttreatment. Due to her baseline neuromuscular disorder and elevated anesthesia risk, she was treated in the interventional radiology suite with drain placement and Povidone-Iodine sclerotherapy under conscious sedation with excellent results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…A lingual abscess is a rare condition that was scarcely described in clinical textbooks [1][2][3]. Most literature surrounding this condition has only been described in case reports.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Recurrent Lingual Abscess in an Elderly Female With Bulbar Amyotrophic Lateral Sclerosis

Carotenuto¹,

Menke²,

Jolton³

et al. 2022

Cureus

View full text Add to dashboard Cite

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Lingual abscess: A case report of a rare clinical entity

Little

Filimonov

Schwam

2022

Otolaryngology Case Reports

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Swollen speech: a case study of tongue abscess detected via imaging technology

Rudrakshi,

Ramdurg,

Naveen

2024

Egypt J Radiol Nucl Med

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Background A tongue abscess is a rare but serious condition marked by a localized accumulation of pus within the tongue’s tissues. Despite the tongue’s frequent exposure to trauma, bites, and foreign objects, it typically resists infections. However, an acute lingual abscess can be life-threatening due to the risk of airway obstruction from tongue swelling. Common symptoms include increasing pain, fever, swelling, immobility, edema, and redness of the tongue. The case report aimed to highlight the unusual clinical presentation and location of a deep-seated abscess in the anterior third of the tongue, as well as the radiographic approach to diagnosing the lesion. Case presentation A 30-year-old female patient presented with sudden onset tongue pain and swelling persisting for 4–5 days. Clinical examination revealed a solitary diffuse swelling in the anterior two-thirds of the tongue, approximately 3 × 2 cm in size. Diagnostic imaging, including a plain radiograph, ultrasound (USG), and MRI, was conducted. The patient was hospitalized for incision and drainage of the abscess, followed by a 5-day course of intravenous antibiotics. Conclusions A tongue abscess, though rare, is a serious condition indicated by tongue swelling, pain, fever, dysphagia, and dyspnea. Diagnosis involves physical examinations and imaging studies like ultrasound or MRI. Immediate treatment includes maintaining airway patency, draining the abscess, and administering broad-spectrum antibiotics. Prompt recognition and treatment are essential to prevent severe complications such as airway obstruction and sepsis. Regular follow-up ensures complete resolution and prevents recurrence.

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Clinical and Diagnostic Aspect of Tongue Abscess

Cited by 9 publications

References 8 publications

Recurrent Lingual Abscess in an Elderly Female With Bulbar Amyotrophic Lateral Sclerosis

Recurrent Lingual Abscess in an Elderly Female With Bulbar Amyotrophic Lateral Sclerosis

Lingual abscess: A case report of a rare clinical entity

Swollen speech: a case study of tongue abscess detected via imaging technology

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