Lingual Abscess in the Setting of Recent Periodontal Antibiotic Injections

J Emerg Med. 2016 Oct;51(4):454-456. doi: 10.1016/j.jemermed.2016.05.053. Epub 2016 Jul 29.

Abstract

Background: Lingual abscess is a rare clinical entity, with posterior involvement being much less common than anterior involvement. Typical inciting events include trauma or direct inoculation to the area. The clinical diagnosis can be difficult, and early imaging and specialist consultation should be pursued to make a definitive diagnosis and to prevent patient deterioration.

Case report: We present a case of posterior lingual abscess in a 62-year-old man after he received antibiotic injections to the lower molars for periodontal disease. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Lingual abscess is a rare condition that is difficult to diagnose clinically. Misdiagnosis or delayed diagnosis can lead to acute airway compromise and increased morbidity.

Keywords: abscess; airway compromise; lingual; periodontal injections; submandibular swelling.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnostic imaging
  • Abscess / drug therapy
  • Abscess / microbiology*
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Humans
  • Injections, Intralesional / adverse effects
  • Male
  • Middle Aged
  • Periodontal Diseases / complications*
  • Periodontal Diseases / drug therapy
  • Tongue Diseases / diagnostic imaging
  • Tongue Diseases / drug therapy
  • Tongue Diseases / microbiology*

Substances

  • Anti-Bacterial Agents