Lingual abscess - a rarity

Byahatti, Sm.; Ingafou,

doi:10.4317/jced.3.e162

Cited by 7 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Posterior to the circumvallate papillae is the "tongue base" and is regarded as a part of the oropharynx. 10 Glossal abscess is more frequently found on anterior portion of the tongue and is usually unilateral, being related to direct trauma 5 but as in our case, there is no history of trauma.…”

Section: Discussionmentioning

confidence: 86%

“…4,15,16 Oral tubercular lesions should particularly be considered in the differential diagnosis of tongue abscess, as the tongue being the most common site for oral involvement by tuberculosis. 5 The lesions from the posterior third must include thyroglossal cyst and lingual tonsil abscess. 4 Infarctions, edema, macroglossia due to hypopituitarism, metabolic alterations as deficiency of vitamin B 12 , hypothyroidism, amyloidosis, acromegaly, iron deficiency, also must be considered as differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tongue: An Unusual Site of Abscess Development

Dubey¹,

Chaudhary²,

Pandey³

et al. 2016

IJPCDR

View full text Add to dashboard Cite

Despite continuous exposure to trauma, bites, and enormous number of potential pathogens, tongue is relatively resistant to infection. Abscess of tongue although is an extremely rare, but a life-threatening medical condition with little information of its diagnosis and management. Here, we present two cases of tongue abscess in young females, with their clinical presentation, differential diagnoses, and management in detail. This is a first report where tongue abscess is reported in two very young (10 years and less) patients, unlike previous few reports where this entity has been described in adults or oldaged patients. As discussed in both the cases in this report, patients responded remarkably well, without any recurrence.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Tongue: An Unusual Site of Abscess Development

Dubey¹,

Chaudhary²,

Pandey³

et al. 2016

IJPCDR

View full text Add to dashboard Cite

show abstract

“…Its rich vascular and lymphatic supply, along with the immunologic properties of saliva, renders it unlikely to develop an abscess. 4 Breach in the continuity of the mucosa and immunodeficiency states predispose to the development of a tongue abscess. 5 The first reported case of tongue abscess was in 1923.…”

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

View full text Add to dashboard Cite

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.

show abstract

“…Without these elements, it is very difficult to think of a tongue abscess. In fact, the latter is a very rare occurrence, 2,5 because the tongue is an organ generally resistant to infections thanks to its rich blood supply, thickness of the mucosa, its mainly muscular structure and the protective effect of saliva. …”

Section: Discussionmentioning

confidence: 99%

Tongue abscess: a rare occurrence possibly mimicking angioedema

Riccardi¹,

Dignetti²,

Tasso³

et al. 2013

Emerg Care J

View full text Add to dashboard Cite

Despite the popularity of tongue piercing in recent years, the finding of a tongue abscess is considered extremely rare by international literature. The few available reports refer to a situation generally well documented objectively, posing problems of differential diagnosis for cancer, metastases, cysts, foreign bodies, intraparenchymal hemorrhage, macroglossia and edema of various origins. An acute enlargement of the tongue can be difficult to diagnose especially if there are no mucosal breaks or inflammation, and it may obstruct the upper airway and be a clinical challenge. Here we report a case observed in our emergency department which, at presentation, seemed suggestive for an angioedema. Case ReportA 51-year-old man was brought to our emergency department (ED) because, the night before his admission, he was showing dyslalia, dysphagia and tongue swelling, especially in the right half. His past history was inexpressive, and he did not report known allergies. He was not taking any drugs. The patient was afebrile, did not complain of any pain in his oral cavity, neither spontaneously nor to palpation of the tongue. There was no enlargement of submandibular and neck lymph nodes and the lingual mucosa did not show any alteration (Figure 1). All baseline blood tests were normal, except for a slight increase of C-reactive protein to 0.69 mg/dL (n.r. 0.05-0.3). In particular, the total and differential white blood cells counts were in the normal range. The consulted ear-nose-throat (ENT) professional noted slight edema on the right half of the tongue and on the floor of the mouth, and agreed with a provisional diagnosis of angioedema. Compared to the previous night the patient reported that his symptoms seemed to decrase, but nevertheless we gave 4 mg betamethasone and 10 mg clorphenamine parenterally. After a night under observation, the patient felt better and was discharged as his clinical picture seemed to have substantially improved. Two days later the patient returned to the ED, complaining of similar problems. This time his clinical picture was not particularly different from the previous one, except for a mild soreness of the tongue. The consulted ENT professional suggested again an angioedema since there were no changes in his lingual mucosa. This time, in addition to steroids and antihistamines, we administered Icatibant 1 f 30 mg subcutaneously and again we kept the patient under observation. The next morning he reported a partial improvement of his symptoms, however on the upper side of the tongue a small pustule had appeared. A large amount of pus came out after etching the pustule (Figure 2). The ultrasound test of the tongue revealed an abscess with a diameter of 17x10x15 mm located on the right side of the tongue body. Neck and chest tomography excluded the involvement of other structures. The patient was then transferred to a specialist unit for definitive treatment. He was discharged a few days later, in good health and asymptomatic. The bacterial culture of the pus was negative. Discus...

show abstract

Lingual abscess - a rarity

Cited by 7 publications

References 0 publications

Tongue: An Unusual Site of Abscess Development

Tongue: An Unusual Site of Abscess Development

Glossal Abscess: An Unusual Presentation

Tongue abscess: a rare occurrence possibly mimicking angioedema

Contact Info

Product

Resources

About