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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Updated: Mar 1, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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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
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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.

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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.