Lingual Abscess in the Setting of Recent Periodontal Antibiotic Injections

Publication date: Available online 29 July 2016
Source:The Journal of Emergency Medicine
Author(s): Joshua E. Lefler, Lawrence N. Masullo
BackgroundLingual 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 ReportWe 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.



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