The abscess of the lingual base is a very rare condition that occurs between the third and fifth decades of life. Early diagnosis and treatment is necessary especially when it leads to severe dyspnea. The most common causative agents are staphylococci and streptococci. It can be diagnosed easily by means of computed tomography and magnetic resonance imaging. Herein we presented a case of lingual base abscess due to enterococci who had been admitted with dsypnea. Our elderly case had no apparent risk factors other than poor oral hygenia. In geriatric subjects with poor oral hygiene who develop abrupt dyspnea, lingual base abscess should be considered in the differential diagnosis.
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