Tongue protrusion as the presenting symptom of parapharyngeal abscess
Abstract Deep neck space infections are commonly seen in the pediatric population. The diagnosis, however, can be challenging to make and requires a high degree of suspicion because of developmental and age‐related factors in children and non‐specific presenting symptoms. Diagnosis becomes further c...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-02-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12336 |
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| _version_ | 1849727495110131712 |
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| author | Timothy Visclosky Sarah Tomlinson Lauren Bohm Andrew Hashikawa |
| author_facet | Timothy Visclosky Sarah Tomlinson Lauren Bohm Andrew Hashikawa |
| author_sort | Timothy Visclosky |
| collection | DOAJ |
| description | Abstract Deep neck space infections are commonly seen in the pediatric population. The diagnosis, however, can be challenging to make and requires a high degree of suspicion because of developmental and age‐related factors in children and non‐specific presenting symptoms. Diagnosis becomes further complicated in patients whose comorbid conditions mask some of the more severe systemic symptoms. We present a case of a 2‐year‐old female with Trisomy 21 who presented with a chief concern of “tongue swelling” per parents. After initially failing treatment for presumed angioedema caused by an angiotensin‐converting enzyme inhibitor, she was ultimately diagnosed with a parapharyngeal abscess with extension and mass effect causing tongue protrusion. This case represents a novel early presentation of a common infection and highlights the challenges of diagnosing deep neck space infections in children. |
| format | Article |
| id | doaj-art-da2d4a86323f46359f22fe6bea3a292d |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-da2d4a86323f46359f22fe6bea3a292d2025-08-20T03:09:50ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522021-02-0121n/an/a10.1002/emp2.12336Tongue protrusion as the presenting symptom of parapharyngeal abscessTimothy Visclosky0Sarah Tomlinson1Lauren Bohm2Andrew Hashikawa3Department of Emergency Medicine University of Michigan Ann Arbor Michigan USADepartment of Emergency Medicine University of Michigan Ann Arbor Michigan USADepartment of Pediatric Otolaryngology University of Michigan Ann Arbor Michigan USADepartment of Emergency Medicine University of Michigan Ann Arbor Michigan USAAbstract Deep neck space infections are commonly seen in the pediatric population. The diagnosis, however, can be challenging to make and requires a high degree of suspicion because of developmental and age‐related factors in children and non‐specific presenting symptoms. Diagnosis becomes further complicated in patients whose comorbid conditions mask some of the more severe systemic symptoms. We present a case of a 2‐year‐old female with Trisomy 21 who presented with a chief concern of “tongue swelling” per parents. After initially failing treatment for presumed angioedema caused by an angiotensin‐converting enzyme inhibitor, she was ultimately diagnosed with a parapharyngeal abscess with extension and mass effect causing tongue protrusion. This case represents a novel early presentation of a common infection and highlights the challenges of diagnosing deep neck space infections in children.https://doi.org/10.1002/emp2.12336deep neck space infectionsparapharyngeal abscesspediatric emergencytongue protrusion |
| spellingShingle | Timothy Visclosky Sarah Tomlinson Lauren Bohm Andrew Hashikawa Tongue protrusion as the presenting symptom of parapharyngeal abscess Journal of the American College of Emergency Physicians Open deep neck space infections parapharyngeal abscess pediatric emergency tongue protrusion |
| title | Tongue protrusion as the presenting symptom of parapharyngeal abscess |
| title_full | Tongue protrusion as the presenting symptom of parapharyngeal abscess |
| title_fullStr | Tongue protrusion as the presenting symptom of parapharyngeal abscess |
| title_full_unstemmed | Tongue protrusion as the presenting symptom of parapharyngeal abscess |
| title_short | Tongue protrusion as the presenting symptom of parapharyngeal abscess |
| title_sort | tongue protrusion as the presenting symptom of parapharyngeal abscess |
| topic | deep neck space infections parapharyngeal abscess pediatric emergency tongue protrusion |
| url | https://doi.org/10.1002/emp2.12336 |
| work_keys_str_mv | AT timothyvisclosky tongueprotrusionasthepresentingsymptomofparapharyngealabscess AT sarahtomlinson tongueprotrusionasthepresentingsymptomofparapharyngealabscess AT laurenbohm tongueprotrusionasthepresentingsymptomofparapharyngealabscess AT andrewhashikawa tongueprotrusionasthepresentingsymptomofparapharyngealabscess |