International Journal of Otolaryngology / 2018 / Article / Tab 2

Review Article

Lingual Abscess: Predisposing Factors, Pathophysiology, Clinical Manifestations, Diagnosis, and Management

Table 2

Investigation, management, and clinical outcome.

Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6

ImagingCT w/ contrastNoneCT w/ contrastCT w/ contrastCT w/ contrastNone

WBC (cell/mm3)93004500145001210055005800

PathogenStreptococcus viridansNo growthAcinetobacter lwoffiiBeta-haemolytic non-group A,B,D Streptococci spp.Streptococcus viridansNo growth

Intravenous antibioticsAmoxicillin-clavulanic acid + ceftriaxoneAmoxicillin-clavulanic acid + ceftriaxoneClindamycin + ceftriaxoneClindamycin + ceftriaxoneAmoxicillin-clavulanic acid + ceftriaxoneAmoxicillin-clavulanic acid

Duration for antibiotic (IV + oral form)2 weeks10 days2 weeks2 weeks2 weeks1 week


DrainageOpen surgical drainageOpen surgical drainageOpen surgical drainageOpen surgical drainageOpen surgical drainageOpen surgical drainage

Airway managementTracheostomyNoneETTTracheostomyETTNone

ComplicationImpending upper airway obstructionNone
SepsisSepsis, Impending upper airway obstructionNoneNone

OutcomeDecannulation Day 6
GoodGoodDecannulation Day 5

CT: computer tomographic scan, WBC: white blood count, IV: intravenous, GA: general anaesthesia, LA: local anaesthesia, ETT: endotracheal intubation.