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舌部脓肿:一种罕见的临床病症。

Tongue abscess: a rare clinical entity.

作者信息

Pallagatti Shambulingappa, Sheikh Soheyl, Kaur Anupreet, Puri Nidhi, Singh Ravinder, Arya Smriti

机构信息

Department of Oral Medicine and Radiology, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India.

出版信息

J Investig Clin Dent. 2012 Aug;3(3):240-3. doi: 10.1111/j.2041-1626.2011.00101.x. Epub 2011 Oct 4.

Abstract

Swelling of the tongue is a rare clinical entity. It is a potentially life-threatening condition, as it could result in airway compromise. The differential diagnosis of acute tongue swelling includes hemorrhage, infarction, abscess, tumor, and edema. A tongue abscess should be considered in all cases of acute tongue swelling, especially when host defenses are severely impaired. Although the diagnosis of lingual abscess can be reached clinically because of the rarity of the condition, in neglected cases, the diagnosis can be difficult. Despite of the rarity and complexity of this condition, its management strategy is relatively simple. In the present study, we describe a case of a tongue abscess on the anterior two-thirds of the tongue in a 60-year-old woman, and discuss the pathophysiology, diagnosis, and treatment of this complex entity.

摘要

舌肿胀是一种罕见的临床病症。它是一种潜在的危及生命的状况,因为它可能导致气道受压。急性舌肿胀的鉴别诊断包括出血、梗死、脓肿、肿瘤和水肿。在所有急性舌肿胀病例中都应考虑舌脓肿,尤其是当宿主防御严重受损时。尽管由于该病罕见,舌脓肿的诊断可通过临床得出,但在被忽视的病例中,诊断可能会很困难。尽管这种病症罕见且复杂,但其管理策略相对简单。在本研究中,我们描述了一名60岁女性舌前三分之二处发生舌脓肿的病例,并讨论了这种复杂病症的病理生理学、诊断和治疗。

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