Tongue base abscess

Introduction Abdominal abscess: In patients with acute tongue tonsillitis, the lymphoid tissue at the base of the tongue is granulated, hyperemia, swelling, and connected to the lower end of the tonsil. In severe cases, ulcers and purulent secretions are localized, and the abscess of the tongue can occur. Initial symptoms of upper respiratory tract infections, such as dry throat, foreign body sensation, burning and sore throat. The pain gradually worsens, and it is more obvious on one side or both sides of the base of the tongue. In severe cases, it can cause severe pain in the ear, and it is difficult to eat and swallow due to pain. The patient was acutely ill and occasionally had high fever.

Cause

The main pathogens are beta-hemolytic streptococcus, staphylococcus, and pneumococci. Adenovirus can also cause this disease. Mixed infections of bacteria and viruses are not uncommon. Bacteria may be invaded by the outside world, or may be bacteria hidden in the tonsils of the tonsils. When the body's resistance is weak due to cold, humidity, overwork, weak constitution, excessive alcohol and tobacco, and harmful gas stimulation, bacterial reproduction is strengthened. Caused. Sometimes it is a prodromal symptom of acute infectious diseases, such as measles and scarlet fever. Acute tonsillitis is often repeated episodes on the basis of chronic tonsils.

an examination

Related inspection

Blood routine oral endoscope

Examination showed acute hyperemia of the pharyngeal mucosa, more mucous secretions in the pharynx and oral cavity, and the lymphoid tissue at the base of the tongue was granulated, hyperemia, swelling, and connected to the lower end of the tonsil. In severe cases, ulcers and purulent secretions were localized, and A tongue abscess can occur.

Differential diagnosis

Hypertrophy of the tongue: The tongue is vain and fat, or has scalloped edges, and the color is light and tender. The hypertrophy of the tongue is caused by the spleen's yang deficiency or the combination of cold and dampness. There is swelling and tenderness in the hyoid bone area: during the physical examination, the hyoid bone area is swollen and tender, and sometimes the broken bone friction sound can be touched.

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