Review Article
Lingual Abscess: Predisposing Factors, Pathophysiology, Clinical Manifestations, Diagnosis, and Management
Table 2
Investigation, management, and clinical outcome.
| ā | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 |
| Imaging | CT w/ contrast | None | CT w/ contrast | CT w/ contrast | CT w/ contrast | None |
| WBC (cell/mm3) | 9300 | 4500 | 14500 | 12100 | 5500 | 5800 |
| Pathogen | Streptococcus viridans | No growth | Acinetobacter lwoffii | Beta-haemolytic non-group A,B,D Streptococci spp. | Streptococcus viridans | No growth |
| Intravenous antibiotics | Amoxicillin-clavulanic acid + ceftriaxone | Amoxicillin-clavulanic acid + ceftriaxone | Clindamycin + ceftriaxone | Clindamycin + ceftriaxone | Amoxicillin-clavulanic acid + ceftriaxone | Amoxicillin-clavulanic acid |
| Duration for antibiotic (IV + oral form) | 2 weeks | 10 days | 2 weeks | 2 weeks | 2 weeks | 1 week |
| Anaesthesia | GA | LA | GA | GA | GA | GA |
| Drainage | Open surgical drainage | Open surgical drainage | Open surgical drainage | Open surgical drainage | Open surgical drainage | Open surgical drainage |
| Airway management | Tracheostomy | None | ETT | Tracheostomy | ETT | None |
| Complication | Impending upper airway obstruction | None
| Sepsis | Sepsis, Impending upper airway obstruction | None | None |
| Outcome | Decannulation Day 6 Good | Good | Good | Decannulation Day 5 Good | Good | Good |
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CT: computer tomographic scan, WBC: white blood count, IV: intravenous, GA: general anaesthesia, LA: local anaesthesia, ETT: endotracheal intubation.
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