Spontaneous lingual abscess in an immunocompromised patient

Kettaneh, Nick; Williamson, Kelly

doi:10.1016/j.ajem.2013.11.027

Cited by 11 publications

(25 citation statements)

References 5 publications

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“…The clinical features of lingual abscess are fever, pain and swelling of the tongue, odynophagia, difficulty in speaking and swallowing together with a change of voice [2]. When the disease worsens, it may lead to dyspnea and dysphagia, necessitating urgent decompression [3].…”

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%

“…Only 24 cases were reported during the last century in the United States of America. It is a serious situation as delayed or missed diagnosis due to its rarity may lead to sepsis and/or airway obstruction [2]. Here, we present a case with lingual abscess with no identifiable etiological cause.…”

Section: Introductionmentioning

confidence: 92%

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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%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lingual abscess in a heavy smoker

Akbaş¹,

Koçak²,

Çakmak³

et al. 2017

Clin Case Rep Rev

View full text Add to dashboard Cite

show abstract

“…The predisposing factors of the tongue abscess are poor oral hygiene, immunodeficiency status, chemotherapeutic drugs, and the diabetes. Some case studies revealed that immunodeficient state is considered a predisposing risk factor for the development of tongue abscess [ 4 , 6 ]. Sánchez Barrueco et al presented a recurrent tongue abscess case with a history of diabetes and tongue laceration [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, ENT surgeons must be consulted in time to prevent life-threatening results. Patients with oropharyngeal dysphagia usually report discomfort in the cervical region [ 6 , 9 ]. Our patient was also pointing to his neck while questioning.…”

Section: Discussionmentioning

confidence: 99%