Dermatomycoses/microbiology , Ear Diseases/microbiology , Histoplasmosis/complications , Tongue Diseases/microbiology , Aged, 80 and over , Dermatomycoses/drug therapy , Ear Diseases/drug therapy , Fatal Outcome , Histoplasmosis/drug therapy , Humans , Male , Renal Insufficiency, Chronic/complications , Tongue Diseases/drug therapy
Abscess/diagnostic imaging , Actinomycosis/diagnostic imaging , Edema/diagnostic imaging , Tongue Diseases/diagnostic imaging , Abscess/drug therapy , Abscess/microbiology , Abscess/surgery , Actinomycosis/drug therapy , Actinomycosis/surgery , Adult , Contrast Media , Diagnosis, Differential , Drainage , Edema/drug therapy , Edema/microbiology , Edema/surgery , Humans , Magnetic Resonance Imaging , Male , Tomography, X-Ray Computed/methods , Tongue Diseases/drug therapy , Tongue Diseases/microbiology , Tongue Diseases/surgery
Ischemia/microbiology , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/complications , Tongue Diseases/microbiology , Tongue/blood supply , Aged, 80 and over , Fatal Outcome , Female , Humans , Staphylococcal Infections/microbiology , Tongue/microbiology
BACKGROUND: Lingual abscess is a rare clinical entity, with posterior involvement being much less common than anterior involvement. Typical inciting events include trauma or direct inoculation to the area. The clinical diagnosis can be difficult, and early imaging and specialist consultation should be pursued to make a definitive diagnosis and to prevent patient deterioration. CASE REPORT: We present a case of posterior lingual abscess in a 62-year-old man after he received antibiotic injections to the lower molars for periodontal disease. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Lingual abscess is a rare condition that is difficult to diagnose clinically. Misdiagnosis or delayed diagnosis can lead to acute airway compromise and increased morbidity.
Abscess/microbiology , Anti-Bacterial Agents/therapeutic use , Periodontal Diseases/complications , Tongue Diseases/microbiology , Abscess/diagnostic imaging , Abscess/drug therapy , Anti-Bacterial Agents/administration & dosage , Humans , Injections, Intralesional/adverse effects , Male , Middle Aged , Periodontal Diseases/drug therapy , Tongue Diseases/diagnostic imaging , Tongue Diseases/drug therapy
Histoplasmosis/diagnosis , Oral Ulcer/diagnosis , Tongue Diseases/diagnosis , Aged , Female , Histoplasma , Histoplasmosis/complications , Humans , Mouth Mucosa/pathology , Oral Ulcer/etiology , Oral Ulcer/microbiology , Oral Ulcer/pathology , Tongue/pathology , Tongue Diseases/etiology , Tongue Diseases/microbiology , Tongue Diseases/pathology
Anti-Bacterial Agents/administration & dosage , Penicillin G Benzathine/administration & dosage , Primary Health Care , Skin Ulcer/pathology , Syphilis/diagnosis , Tongue Diseases/pathology , Adult , Cheek/pathology , Contact Tracing , Humans , Injections, Intramuscular , Male , Nose/pathology , Physical Examination , Sexual and Gender Minorities , Skin Ulcer/drug therapy , Skin Ulcer/microbiology , Syphilis/drug therapy , Syphilis/microbiology , Tongue Diseases/drug therapy , Tongue Diseases/microbiology , Treatment Outcome
Histoplasmosis is an endemic systemic mycosis caused by the dimorphic fungus Histoplasma capsulatum. In immunocompromised patients, histoplasmosis generally occurs as an opportunistic disease, with dissemination to various organs. Cutaneous involvement is observed in 38% to 85% of cases, with oral mucosal involvement in 30% to 60% of cases. This article describes the case study of a 32-year-old woman who presented an extensive tongue ulcer due to histoplasmosis and had the HIV infection diagnosis based on laboratory tests requested by the dentist.
HIV Infections/diagnosis , Histoplasmosis/diagnosis , Immunocompromised Host , Tongue Diseases/microbiology , Adult , Diagnosis, Differential , Female , Humans
Oral Ulcer/diagnosis , Syphilis/diagnosis , Tongue Diseases/diagnosis , Aged , Biopsy/methods , Connective Tissue/microbiology , Connective Tissue/pathology , Diagnosis, Differential , Humans , Male , Oral Ulcer/microbiology , Tongue Diseases/microbiology , Treponema pallidum/isolation & purification
A 66-year-old woman presented with acute onset of fever, chills, and productive cough associated with right-sided chest pain. During a recent hospitalization for dyspnea, she had been diagnosed with Coombs-positive autoimmune hemolytic anemia and had been taking a tapering dose of prednisone starting approximately 6 weeks prior to admission. In the interim, her dyspnea had resolved on treatment with steroids. At the time of presentation, her prednisone dose was 40 mg. Additional medical history included VTE, for which the patient was receiving anticoagulation therapy, and steroid-induced diabetes mellitus. Many years earlier, she had been treated for TB in her home country. The patient had immigrated to Queens, New York, from a Nepalese village 8 years prior. While still in Nepal, she had worked on a farm and had been in close proximity to cows. In Queens, she lived with her family in a house with a small garden but had no pets. Recent travel included a visit to Nepal 9 months ago and a trip to Syracuse, New York, one month prior to presentation. She was a never smoker and did not consume alcohol.
Blastomycosis/complications , Cough/etiology , Fever/etiology , Immunity, Cellular , Tongue Diseases/etiology , Tongue/pathology , Aged , Biopsy , Blastomycosis/diagnosis , Blastomycosis/immunology , Bronchoscopy , Cough/diagnosis , Diagnosis, Differential , Female , Fever/diagnosis , Humans , Nepal/ethnology , New York City/epidemiology , Radiography, Thoracic , Tomography, X-Ray Computed , Tongue/microbiology , Tongue Diseases/diagnosis , Tongue Diseases/microbiology , Travel
