Acute abscess of the base of the tongue: a rare but important emergency.
BACKGROUND
Acute posterior lingual abscess is rare, but may potentially compromise the airway acutely.


OBJECTIVE
Lingual abscesses call for prompt and aggressive management because they are potentially life-threatening infections. Anterior lingual abscess (the most common) and posterior third lingual abscess must be differentiated.


METHODS
A young man who experienced the beginnings of dyspnea and total aphagia presented to the Emergency Department. A posterior lingual abscess was identified on computed tomography scan.


CONCLUSIONS
Multi-antimicrobial therapy is the cornerstone of treatment. Surgical drainage is also of critical importance for preventing deeper spread of the infection.


CONCLUSIONS
We present this case to increase awareness among emergency physicians and head and neck surgeons of the clinical findings of acute abscess of the base of the tongue, which can be difficult to diagnose clinically. Imaging of the oral cavity and pharynx is the key to the diagnosis, and the key to choosing the best surgical strategy.
Vellin
Jean-François
JF
Department of Otolaryngology and Head and Neck Surgery, Centre Hospitalier Universitaire (CHU) de Clermont-Ferrand, Gabriel Montpied Teaching Hospital Network, Faculty of Medicine, University of Clermont, Clermont-Ferrand, France.
Crestani
Sabine
S
Saroul
Nicolas
N
Bivahagumye
Leonard
L
Gabrillargues
Jean
J
Gilain
Laurent
L
D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D004630:Emergencies; D006801:Humans; D008297:Male; D011859:Radiography; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D014060:Tongue Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult
D000900:Anti-Bacterial Agents