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An examination of the neck and head shows redness and swelling of the upper neck, under the chin. The swelling may extend to the floor of the mouth. The tongue may be swollen or displaced upward and backward because of the inflammation.
A CT scan of the neck may be recommended to determine the extent of inflammation. Culture of fluid from the tissues may show bacteria, usually streptococcus species or anaerobic species that usually live in the mouth.
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