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Tongue Abscess: A Case Report

INTRODUCTION: Abscess of the tongue is a very rare disease that potentially compromises the airway. Acute tongue abscess symptoms include swelling or a lump in the deep tissues of the tongue, throbbing local pain, a discomfort that radiates to the ears, fever, difficulty swallowing, deliberate fixat...

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Autores principales: Mesfin, Telila, Debele, Gosaye, Seyoum, Kenbon, Dadi, Sisay, Tsegaye, Mesfin, Gomora, Degefa, Kene, Chala, Tolosa, Gudisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809373/
https://www.ncbi.nlm.nih.gov/pubmed/36605725
http://dx.doi.org/10.2147/IMCRJ.S399020
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author Mesfin, Telila
Debele, Gosaye
Seyoum, Kenbon
Dadi, Sisay
Tsegaye, Mesfin
Gomora, Degefa
Kene, Chala
Tolosa, Gudisa
author_facet Mesfin, Telila
Debele, Gosaye
Seyoum, Kenbon
Dadi, Sisay
Tsegaye, Mesfin
Gomora, Degefa
Kene, Chala
Tolosa, Gudisa
author_sort Mesfin, Telila
collection PubMed
description INTRODUCTION: Abscess of the tongue is a very rare disease that potentially compromises the airway. Acute tongue abscess symptoms include swelling or a lump in the deep tissues of the tongue, throbbing local pain, a discomfort that radiates to the ears, fever, difficulty swallowing, deliberate fixation of the tongue due to pain, and eventually, difficulties breathing. CASE: This is a 50-year-old male patient who presented with a complaint of severe tongue pain and swelling of three days duration. Associated with this, he had pain while swallowing, difficulty opening his mouth, shortness of breath, and drooling saliva. Likewise, he had a high-grade fever and a global type of headache. On physical examination, there was significant tongue swelling on the left anterolateral area, fluctuant on palpation, and had erythematous border. After informed consent was taken the patient was transferred to the operation room with the diagnosis of tongue abscess. Subsequently, incision and drainage were done under general anesthesia, and about 30mL of thick pus was drained. The pocket was washed with normal saline and 2% hydrogen peroxide. The patient was transferred to the surgical ward with stable vital signs and had been on antibiotics. He was discharged after two days of hospital stay. CONCLUSION: Abscesses in the tongue are quite uncommon due to its rich vascular supply, lymphatic drainage, and saliva’s immunologic advantage. Thorough diagnosis and successful treatment of tongue abscess prevent potential airway compromise. Antibiotic treatment should cover gram-positive and gram-negative anaerobes.
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spelling pubmed-98093732023-01-04 Tongue Abscess: A Case Report Mesfin, Telila Debele, Gosaye Seyoum, Kenbon Dadi, Sisay Tsegaye, Mesfin Gomora, Degefa Kene, Chala Tolosa, Gudisa Int Med Case Rep J Case Report INTRODUCTION: Abscess of the tongue is a very rare disease that potentially compromises the airway. Acute tongue abscess symptoms include swelling or a lump in the deep tissues of the tongue, throbbing local pain, a discomfort that radiates to the ears, fever, difficulty swallowing, deliberate fixation of the tongue due to pain, and eventually, difficulties breathing. CASE: This is a 50-year-old male patient who presented with a complaint of severe tongue pain and swelling of three days duration. Associated with this, he had pain while swallowing, difficulty opening his mouth, shortness of breath, and drooling saliva. Likewise, he had a high-grade fever and a global type of headache. On physical examination, there was significant tongue swelling on the left anterolateral area, fluctuant on palpation, and had erythematous border. After informed consent was taken the patient was transferred to the operation room with the diagnosis of tongue abscess. Subsequently, incision and drainage were done under general anesthesia, and about 30mL of thick pus was drained. The pocket was washed with normal saline and 2% hydrogen peroxide. The patient was transferred to the surgical ward with stable vital signs and had been on antibiotics. He was discharged after two days of hospital stay. CONCLUSION: Abscesses in the tongue are quite uncommon due to its rich vascular supply, lymphatic drainage, and saliva’s immunologic advantage. Thorough diagnosis and successful treatment of tongue abscess prevent potential airway compromise. Antibiotic treatment should cover gram-positive and gram-negative anaerobes. Dove 2022-12-30 /pmc/articles/PMC9809373/ /pubmed/36605725 http://dx.doi.org/10.2147/IMCRJ.S399020 Text en © 2022 Mesfin et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Mesfin, Telila
Debele, Gosaye
Seyoum, Kenbon
Dadi, Sisay
Tsegaye, Mesfin
Gomora, Degefa
Kene, Chala
Tolosa, Gudisa
Tongue Abscess: A Case Report
title Tongue Abscess: A Case Report
title_full Tongue Abscess: A Case Report
title_fullStr Tongue Abscess: A Case Report
title_full_unstemmed Tongue Abscess: A Case Report
title_short Tongue Abscess: A Case Report
title_sort tongue abscess: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809373/
https://www.ncbi.nlm.nih.gov/pubmed/36605725
http://dx.doi.org/10.2147/IMCRJ.S399020
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