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Recurrent Lingual Abscess in a Child

Rie Kuge1, Koji Komori, Sahoko Miyama

  • 1From the Departments of *Children and Family Support, †Surgery, and ‡Neurology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

The Pediatric Infectious Disease Journal
|December 29, 2016
PubMed

Insights

Recurrent lingual abscesses in infants can cause serious breathing issues and difficulty swallowing. Early recognition by pediatricians is crucial for prompt diagnosis and management of this potentially life-threatening condition.

Area of Science:

  • Pediatric Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Lingual abscesses are rare but serious infections affecting the tongue.
  • Prompt diagnosis and treatment are essential to prevent complications.

Observation:

  • A 14-month-old boy presented with tongue swelling, fever, dyspnea during sleep, and dysphagia.
  • Magnetic resonance imaging (MRI) confirmed an anterior lingual abscess.

Findings:

  • The patient experienced four subsequent recurrent lingual abscesses.
  • Recurrence indicates a potential challenge in complete eradication or underlying predisposition.

Implications:

  • Pediatricians must maintain a high index of suspicion for lingual abscesses in infants with relevant symptoms.
  • Timely diagnosis and appropriate management are critical due to the risk of airway compromise.
  • Awareness of recurrent presentations is important for long-term patient care and prevention strategies.

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