Glossitis phlegmonosa - Altmeyers Encyclopedia

Definition
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Phlegmon of the tongue with severe pain when speaking and swallowing with possible extension to the floor of the mouth and throat.

Acute ENT medical therapy.

Immediate therapy with broad-spectrum antibiotics i.v. to prevent the spread and narrowing of the airways, e.g. amoxicillin + clavulanic acid (e.g. Augmentan) i.v., dosage: 3 times 2.2 g/day, with only slight expression Augmentan Filmtbl. 3 times 1 Tbl./day p.o. As soon as possible, antibiotic treatment after antibiogram
In case of shortness of breath glucocorticoids such as prednisolone (e.g. Decortin H) 250-500 mg, if necessary intubation or criotomy/tracheotomy. Surgical removal and drainage if necessary, especially in the case of oral phlegmon.