Ludwigs angina is a rapidly progressive bilateral cellulitis of the submandibular space associated with eleva tion and posterior displacement of the tongue usually. Ludwigs angina is a lifethreatening cellulitis of the soft tissue involving the floor of the mouth and neck. In most cases ludwig angina results from a dental lesion radicular or periodontogenica. It often follows a mouth injury or infection, such as a tooth abscess. Ludwig angina is a bacterial cellulitis in the floor of the mouth triggered by a tooth infection usually second or third mandibular molar. The patient was referred to an oral and maxillofacial.
A rare complication of tooth abscess ludwigs angina and. Known complications of ludwigs angina include carotid arterial rupture or sheath abscess, thrombophlebitis of the internal jugular vein. Ludwigs angina is a rare, serious skin infection that develops on the floor of the mouth and the neck. Ludwigs angina is a severe diffuse cellulitis in mandibular region that is commonly caused by odontogenic infection. An unusual presentation of ludwig s angina complicated by cervical necrotizing fasciitis. Video of the fibreoptic intubation illustrating swollen base of tongue and swollen epiglottis. The bacteria streptococcus and staphylococcus are common causes. A 58yearold healthy man was evaluated for a toothache of 2 days duration. The dentist noted bilateral submandibular swelling, an altered voice, trismus, and a raised floor of mouth. P ludwigs angina is an acute infection of the floor of the mouth usually starting in. Ludwigs angina is a diffuse cellulitis in the submandibular, sublingual, and submental spaces, characterized by its propensity to spread rapidly to the surrounding tissues. It results from bacteria that are present due to other issues, such as a tooth abscess or.
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 obstruction. 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. Ludwig s angina free download as powerpoint presentation. Largely due to the advent of antibiotics, the condition is uncommon in present day modern societies.