Ludwig s angina is a bilateral infection of the submandibular space that consists of two compartments in the floor of the mouth, the sublingual space and the submylohyoid also known as submaxillary space. The authors report a case of ludwigs angina and discuss its etiology, clinical findings, choice of antibiotics, culture and antibiogram, maintenance of the airways, drainage and surgical treatment. Ludwig s angina is a rapidly progressive cellulitis of the submandibular space that can have a high mortality if not promptly recognized and treated. It is a case of ludwig s angina in which abscess drainage was done under superficial cervical plexus block and mandibular nerve block. Early diagnosis and immediate treatment planning could be a lifesaving procedure. The bacteria streptococcus and staphylococcus are common causes. Drainage of ludwig angina under superficial cervical plexus. It originates in the region of the submandibular gland with elevation and displacement of the tongue. Candamourty r, venkatachalam s, babu mr, kumar gs july 2012. Ludwigs angina is a potentially lifethreatening bacterial infection that can occur if an infected tooth root, or an abscessed tooth, goes untreated.
It often develops after an infection of the roots of the teeth such as tooth abscess or a mouth injury. Ludwig s angina is a form of severe diffuse cellulitis that presents an acute onset and spreads rapidly, bilaterally affecting the submandibular, sublingual and submental spaces resulting in a state of emergency. Emergency treatment 1ka kamala, 2s sankethguddad, 3sg sujith johsr case report 10. It is defined as a bilateral infection of the submandibular, submental, and sublingual spaces that can lead to rapid airway failure.
Ludwigs angina is a form of severe diffuse cellulitis with bilateral involvement, primarily of the submandibular space with the sublingual and submental spaces also being involved. This page includes the following topics and synonyms. Ludwig s angina is a term for a rapidly progressive cellulitis of the floor of the mouth and neck with induration and bilateral submandibular, sublingual, and submental space involvement with an infectious. Ludwigs angina is a form of severe diffuse cellulitis that presents an acute onset and spreads rapidly, bilaterally affecting the submandibular, sublingual and submental spaces resulting in a. It is a case of ludwigs angina in which abscess drainage was done under superficial cervical plexus block and mandibular nerve block. Ludwigs angina can take hold beneath the tongue on the floor of the mouth also known as the sublingual or submandibular space if root canal treatment is delayed or if dental health care. It often follows a mouth injury or infection, such as a tooth abscess. Ludwigs angina is a diagnosis that can be easily missed or confused with more benign conditions.
Ludwig angina is a type of bacterial infection that occurs in the floor of the mouth, under the tongue. Patients have swelling, pain, and elevation of the tongue, malaise, fever, neck swelling, and dysphagia. Abstract ludwigs angina is an infectioncaused disease mainly affecting the floor of the mouth. Alejandro miguens uriel catherina monteghirfo nunez c. Despite intensive use of antibiotics, ludwig s angina remains a potentially lethal infection because of the risk of upper airway obstruction and spread into the. It often develops after an infection of the roots of the teeth such as tooth abscess or a mouth injury this condition is uncommon in children. Ludwigs angina and mediastinitis due to streptococcus. This poster was originally presented at the seram 2012 meeting, may 2428, in granadaes. The submandibular area can be indurated, sometimes with palpable crepitus. Ludwig s angina and mediastinitis due to streptococcus milleri. Surgical management of ludwigs angina researchgate. An uncommon and potentially lethal neck infection vung d.
Doc caso enero 2015 via aerea dificil angina ludwig1. Early on the floor of the mouth is raised and there is difficulty swallowing saliva, which may run from the persons mouth. It is essentially produced by second and third molar abscesses. Ludwig s angina lat angina ludovici is a type of severe cellulitis involving the floor of the mouth. The maintenance of the airways must be a priority in the treatment of the patient, since the main cause of death at a first moment is the asphyxia due to. We present a case which needed awake fibreoptic intubation due to severe trismus and a prolonged period intubated in the intensive care unit after incision and drainage of neck spaces and removal of his lower wisdom teeth. Ludwigs angina is a diffuse cellulitis in the submandibular, sublingual, and submental spaces, characterized by its propensity to spread rapidly to the surrounding tissues. More sophisticated airway management methods may be available, but superficial cervical plexus block permits the surgical decompression in this case. Ludwig s angina, ludwig angina, cellulitis of floor of mouth, submandibular space infection.
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