关键词: khat chewing sonography tongue abscess

来  源:   DOI:10.2147/IMCRJ.S399020   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
未经证实:舌脓肿是一种非常罕见的疾病,可能会损害气道。急性舌脓肿症状包括舌深部组织肿胀或肿块,阵阵局部疼痛,辐射到耳朵的不适,发烧,吞咽困难,由于疼痛而故意固定舌头,最终,呼吸困难。
UNASSIGNED:这是一名50岁的男性患者,主诉严重的舌头疼痛和肿胀,持续三天。与此相关,他吞咽时疼痛,难以开口,呼吸急促,流口水.同样,他有高烧和全球性的头痛。在体检时,左前外侧区域有明显的舌头肿胀,触诊时波动,并有红斑边界。知情同意后,患者被转移到手术室,诊断为舌脓肿。随后,在全身麻醉下进行切开和引流,排出约30毫升厚脓液。用生理盐水和2%过氧化氢洗涤袋。患者被转移到手术室,生命体征稳定,并一直在使用抗生素。他住院两天后出院。
未经证实:舌头脓肿因其丰富的血管供应而相当少见,淋巴引流,和唾液的免疫学优势。舌脓肿的彻底诊断和成功治疗可预防潜在的气道损害。抗生素治疗应涵盖革兰氏阳性和革兰氏阴性厌氧菌。
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