MyMedR

Fulltext "Koro"-like syndrome affecting the tongue--a case report

Chin CN, S'ng KH

Med J Malaysia, 1995 Jun;50(2):175-7.

A 52-year-old man presented with a 2-year history of episodic retraction of his tongue into the throat with a belief that he will die if the retraction is complete. The presentation is similar to koro except that the tongue is involved instead of the penis. It appears that retraction taxon can involve other organs and may not necessarily be culture bound.

Matched MeSH terms: Tongue Diseases/etiology; Tongue Diseases/physiopathology*

Aspiration Avoiding Tracheostomy in Neonatal Cystic Oral Lesion

Nasir MSNM, Ishak MN, Abd Wahid FH, Asif JA, Mohamad I

Medeni Med J, 2019;34(4):400-403.

PMID: 32821468 DOI: 10.5222/MMJ.2019.44977

Oral cyst is uncommon in the neonatal period. Depending on the size and site of occurrence, its symptoms may vary. If not diagnosed and managed expeditiously, these oral cysts may cause significant and potentially fatal morbidity and mortality. We report a successfully managed case of oral cyst in neonate that presented with huge tongue at birth and complaints of impending airway obstruction. She was referred for tracheostomy as intubation was impossible. We attempted needle aspiration and the airway successfully relieved without the need for tracheostomy.

Matched MeSH terms: Tongue Diseases

Base of tongue tuberculosis: a case report

Hussaini J, Mutusamy S, Omar R, Rajagopalan R, Narayanan P

Acta Med Iran, 2012;50(2):151-2.

PMID: 22359087

We report a rare case of base of tongue tuberculosis following pulmonary tuberculosis. Patient presented to us with chief complaints of sore throat and pain on swallowing for period of 3 months. On examination with 70 degree telescope, we observed an ulcer on right side of base of tongue. The edges of the ulcer appeared to be undermined with whitish slough at the centre of the ulcer. Examination of neck showed a multiple small palpable middle deep cervical lymph nodes on right side of neck. Biopsy of the ulcer was taken, which showed granulomatous inflammation, suggestive of tuberculosis. Laboratory investigations revealed a raise in erythrocyte sedimentation rate, sputum for acid fast bacilli was strongly positive. Chest X ray was performed for patient showed multiple areas of consolidation. Patient was referred to chest clinic for further management of tuberculosis and was started on anti-tuberculous drugs. In conclusion tuberculosis of oral cavity is rare, but should be considered among one of the differential diagnosis of the oral lesions and biopsy is necessary to confirm the diagnosis.

Matched MeSH terms: Tongue Diseases/diagnosis*

Bifid Tongue and Cleft Palate With and Without a Tessier 30 Facial Cleft: Cases of Rare Congenital Anomalies and a Review of Management and Literature

Lee JY, Mohd Zainal H, Mat Zain MAB

Cleft Palate Craniofac J, 2019 10;56(9):1243-1248.

PMID: 31092003 DOI: 10.1177/1055665619846772

Congenital bifid tongue with cleft palate is a very rare malformation with different variations. We are reporting 2 cases of rare congenital bifid tongue with cleft palate in our hospital setting and their surgical management. A multidisciplinary approach, well-planned staged operations, rehabilitation, and follow-up are needed to achieve favorable outcomes.

Matched MeSH terms: Tongue Diseases

Cryptococcocis: a rare fungal infection of the tongue

Mohamad I, Abdullah B, Salim R, Rajet KA, Naik VR

Southeast Asian J. Trop. Med. Public Health, 2010 Sep;41(5):1188-91.

PMID: 21073040

Fungal infection in the oral cavity is not uncommon. The site involved is usually species related. Cryptococcus rarely infects the oral cavity. We report an elderly patient who presented with a central lesion on the dorsum of the tongue. Biopsy revealed a fungal infection. Special stains confirmed cryptococcus. Being a rare location for cryptococcal infection, clinical suspicion should be correlated with histopathological examination. Once confirmed, the patient should be treated with an antifungal medication.

Matched MeSH terms: Tongue Diseases/diagnosis; Tongue Diseases/drug therapy; Tongue Diseases/microbiology*

Fulltext Dataset of computed N-value and factual N-value traced for Soil Subsurface Profiling

Jusoh H, Sabariah Binti Abd Manan T, Beddu S, Osman SBS, Jusoh MNH, Mohtar WHMW, et al.

Data Brief, 2020 Aug;31:105868.

PMID: 32637485 DOI: 10.1016/j.dib.2020.105868

Soil requires load bearing impact assessment for stability. Therefore, this study aims to utilize the multi-channel analysis surface wave (MASW) for soil subsurface investigation and profiling around Peninsular Malaysia. The standard penetration test (SPT) was conducted for comparison between factual N-value and computed N-value from shear wave velocity (Vs ) obtained from MASW using the Imai and Tonouchi equation. The correlation coefficient (R) and coefficient of determination, (R2 ), showed strong relationship between factual N-value and computed N-value. The model of Vs and factual N-value data distribution is non-normal but the analyzed relationship shows a significant level of p-value < 0.05. The R2 for each location of Vs -N-value relationship are ranging from 0.5 to 0.9.

Matched MeSH terms: Tongue Diseases

Fulltext Disseminated histoplasmosis presenting as a non-healing tongue ulcer

Liam CK, Chua CT, Pathmanathan R

Singapore Med J, 1990 Jun;31(3):286-8.

PMID: 2392708

A 51-year old man presented with a persistent tongue ulcer, fever, cervical lymphadenopathy and hepatomegaly. The diagnosis was initially thought to be tuberculosis. This led to the initiation of antituberculous chemotherapy to which the patient failed to respond. The correct diagnosis of histoplasmosis was made after the detection of Histoplasma capsulatum on further review of the tongue ulcer biopsy specimen. He responded to treatment with amphotericin B.

Matched MeSH terms: Tongue Diseases/complications; Tongue Diseases/diagnosis*; Tongue Diseases/microbiology

Fulltext Disseminated histoplasmosis presenting with chronic ulcerative tongue lesions in a patient with diabetes

Hasmoni MH, Shah AS, Ayoub S, Hin LS, Abd Rashid MA

BMJ Case Rep, 2010;2010.

PMID: 22791841 DOI: 10.1136/bcr.06.2010.3120

Matched MeSH terms: Tongue Diseases/microbiology*; Tongue Diseases/pathology

Efficient Deployment of Multi-UAVs in Massively Crowded Events

Sawalmeh A, Othman NS, Shakhatreh H

Sensors (Basel), 2018 Oct 26;18(11).

PMID: 30373204 DOI: 10.3390/s18113640

In this paper, the efficient 3D placement of UAV as an aerial base station in providing wireless coverage for users in a small and large coverage area is investigated. In the case of providing wireless coverage for outdoor and indoor users in a small area, the Particle Swarm Optimization (PSO) and K-means with Ternary Search (KTS) algorithms are invoked to find an efficient 3D location of a single UAV with the objective of minimizing its required transmit power. It was observed that a single UAV at the 3D location found using the PSO algorithm requires less transmit power, by a factor of 1/5 compared to that when using the KTS algorithm. In the case of providing wireless coverage for users in three different shapes of a large coverage area, namely square, rectangle and circular regions, the problems of finding an efficient placement of multiple UAVs equipped with a directional antenna are formulated with the objective to maximize the coverage area and coverage density using the Circle Packing Theory (CPT). Then, the UAV efficient altitude placement is formulated with the objective of minimizing its required transmit power. It is observed that the large number of UAVs does not necessarily result in the maximum coverage density. Based on the simulation results, the deployment of 16, 19 and 26 UAVs is capable of providing the maximum coverage density of 78.5%, 82.5% and 80.3% for the case of a square region with the dimensions of 2 km × 2 km, a rectangle region with the dimensions of 6 km × 1.8 km and a circular region with the radius of 1.125 km, respectively. These observations are obtained when the UAVs are located at the optimum altitude, where the required transmit power for each UAV is reasonably small.

Matched MeSH terms: Tongue Diseases

Fulltext Erupted teeth in the newborn

Meon R, Woon KC

Med J Malaysia, 1982 Dec;37(4):306-7.

PMID: 7167080

Incidence, aetiology, morphology, histology and symptoms of natal or neonatal teeth are presented. The commonly used terminology natal and neonatal teeth is adopted in this article. A case of an 8-week old girl with natal tooth and sublingual ulceration of the tip of the tongue is described.

Matched MeSH terms: Tongue Diseases/etiology

Glial Heterotopia of the Base of Tongue: A Case Report

Tuang GJ, Lee JPH, Velayutham P, Git KA, Ariffin NAA, Abidin ZAZ

Medeni Med J, 2019;34(3):324-328.

PMID: 32821456 DOI: 10.5222/MMJ.2019.88886

Glial heterotopia of oropharynx is a congenital anomaly, whereby ectopic mature glial tissue is found around oropharynx isolated from the brain and spinal cord. Herein we report a rare presentation of a mass at the base of tongue in a neonate. In addition, to underscore the rarity of oropharygeal glial heterotopia, we discuss the dilemma in approaching its diagnosis and management in a neonate.

Matched MeSH terms: Tongue Diseases

Fulltext Glossodynia and glossopyrosis - a discussion of the aetiology and management

Yaacob HB, Ling BC

Med J Malaysia, 1981 Sep;36(3):177-80.

PMID: 7329376

Fifty patients with temporomandibular pain dysfunction syndrome were examined. Seventy-eight percent and 32 percent were female and male respectively. The white collar workers were more frequently affected. Emotional stress, dental malocclusion and a history of trauma were the main causes. Treatment consists of reassurance, relaxed jaw movements and exercises, anxiolytic drugs, thermotherapy, biting appliance, occlusal adjustments and restoration of lost dental units.

Matched MeSH terms: Tongue Diseases/complications*

Fulltext Lingual haematoma: yet another unusual cause of upper airway obstruction

Ng KP

Med J Malaysia, 1998 Mar;53(1):112-4.

PMID: 10968150

An episode of acute upper airway obstruction was caused by a lingual haematoma, when a patient with end stage renal failure suffered a hypocalcaemic fit and bit his tongue. The large haematoma and profuse bleeding caused the patient to obstruct and become hypoxic, and rendered laryngoscopy and intubation impossible, requiring an urgent tracheostomy to secure the airway.

Matched MeSH terms: Tongue Diseases/complications*

Lingual myoclonus and neuropsychiatric lupus: a new association?

Ong SG, Chua R

Int J Rheum Dis, 2014 Jun;17(5):583-5.

PMID: 24330407 DOI: 10.1111/1756-185X.12260

Matched MeSH terms: Tongue Diseases/diagnosis; Tongue Diseases/drug therapy; Tongue Diseases/etiology*

Motor neurone disease

Tay CH, Jek WT

Med J Malaya, 1972 Jun;26(4):272-7.

PMID: 5069417

Matched MeSH terms: Tongue Diseases

Fulltext Neonatal tooth with Riga-Fide disease affecting breastfeeding: a case report

Jamani NA, Ardini YD, Harun NA

Int Breastfeed J, 2018;13:35.

PMID: 30065775 DOI: 10.1186/s13006-018-0176-7

Background: Neonatal teeth erupt during the neonatal period and natal teeth are the presence of teeth since birth. While rare, natal teeth and neonatal teeth can have a significant impact on breastfeeding. Neonatal teeth are less common, and although its exact etiology is still unknown, it can cause difficulties in breastfeeding to the mother and may eventually lead to discontinuation of breastfeeding. Other associated possible complications include tooth aspiration and sublingual ulceration. This paper was aimed to discuss the clinical features, complications, and management of neonatal tooth, in addition to its impact on breastfeeding and role in sublingual ulcer formation.

Case presentation: We present a baby girl who had a neonatal tooth with sublingual ulceration (Riga-Fede disease), which resulted in a difficulty to breastfeed for the baby and nipple pain to the mother. Following the extraction of the baby's tooth, she immediately continued breastfeeding, and her tongue ulcer healed well.

Conclusion: Extraction of the neonatal tooth promoted rapid healing of oral ulcers and the reestablishment of breastfeeding.

Matched MeSH terms: Tongue Diseases

Osseous choristoma of the tongue

Wei Cheong Ngeow, Chin Boon Lian, Shanmahasuntharam P

J Nihon Univ Sch Dent, 1996 Mar;38(1):49-51.

PMID: 8648411

The term "choristoma" is used to describe a mass of histologically normal tissue presenting in an aberrant site. A rare case of osseous choristoma of the tongue is presented and the literature is briefly reviewed.

Matched MeSH terms: Tongue Diseases/pathology*

Fulltext Persistent oromandibular dystonia and angioedema secondary to haloperidol

Masiran R

BMJ Case Rep, 2017 Oct 04;2017.

PMID: 28978587 DOI: 10.1136/bcr-2017-220817

We report a case in a young man who developed acute, persistent and painful tongue protrusion followed by swelling for more than 24 hours. He had relapse symptoms of schizophrenia and had recently received a single dose of parenteral haloperidol to manage his agitation. His record showed history of similar event and he has been taking atypical antipsychotic for maintenance. Mental state examination on admission revealed an agitated man with disorganised speech, restricted affect, auditory hallucination and persecutory delusion. His dystonia and oedema improved after 3 days. His mental status also recovered with the maintenance of low-potency antipsychotic and anticholinergic antiparkinsonian medications.

Matched MeSH terms: Tongue Diseases/chemically induced; Tongue Diseases/diagnosis*; Tongue Diseases/pathology

Spontaneous sublingual hematoma as a complication of severe hypertension: first report of a case

Prepageran N, Raman R, Ismail SM, Rahman ZA

Ear Nose Throat J, 2002 Aug;81(8):576-8.

PMID: 12199178

We describe what we believe is the first reported case of a sublingual hematoma secondary to severe hypertension. The patient, a 77-year-old woman, experienced a spontaneous hematoma of the floor of the mouth, tongue, and sublingual space that eventually caused an airway obstruction. We performed an emergency tracheostomy under local anesthesia and then evacuated the hematoma through an incision along the floor of the mouth. The patient recovered uneventfully.

Matched MeSH terms: Tongue Diseases/diagnosis; Tongue Diseases/etiology*; Tongue Diseases/surgery

The predictive value of uvulo-palatoglossal junctional ulcers as an early clinical sign of exanthem subitum due to human herpesvirus 6

Chua KB, Lam SK, AbuBakar S, Lim ST, Paranjothy M, Koh MT, et al.

J Clin Virol, 2000 Aug;17(2):83-90.

PMID: 10942088

BACKGROUND: The clinical sign of uvulo-palatoglossal junctional (UPJ) ulcers was first noted in 1983 in a 5.5-month-old baby with exanthem subitum (ES). An earlier prospective clinical study showed that there was a strong association of UPJ ulcers and occurrence of ES with a positive predictive value of 95.3% and negative predictive value of 100%.

OBJECTIVE: To determine the value of uvulo-palatoglossal junctional (UPJ) ulcers as an early clinical sign of exanthem subitum (ES) due to human herpesvirus 6 (HHV 6) infection.

STUDY DESIGN: A case-control study of 20 febrile children with UPJ ulcers versus 26 febrile children without UPJ ulcers. These children were followed up for any development of ES and investigated for human herpesvirus 6 (HHV 6) as the causative agents of the febrile episodes.

RESULTS: In this study, 20 out of 46 febrile children aged 3 months to 3 years with UPJ ulcers were virologically and/or serologically confirmed to be due to primary HHV 6 infection. The rest of the 26 children without ulcers did not have HHV 6 infection. Of the 20 children with UPJ ulcers, only 17 of the 19 children with adequate follow-up till subsidence of fever developed ES. None of the 26 children without UPJ ulcers developed ES.

CONCLUSION: Statistically, there was a significant association of UPJ ulcers as an early sign of ES with a positive predictive value of 89.5% and negative predictive value of 100%. This finding also suggests that the presence of UPJ ulcers is a useful pathognomic clinical sign of symptomatic primary HHV 6 infection.

Matched MeSH terms: Tongue Diseases/virology*

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