Background. Angina Ludovici (Ludwig’s angina) is a severe infection of the connective tissue from the floor of the mouth, usually occurring. rare disorder, Ludwig’s angina is a serious, potentially life-threatening infection of the neck and the floor of the mouth (Table 1). Originally described by Wilhelm. Abstract: Ludwigs angina is a disease which is characterised by the infection in the floor of the oral cavity. Ludwig’s angina is also otherwise commonly known.

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Failure to diagnose deep neck infections promptly may be caused by a clinical picture that is altered by previous antibiotic use. Schulman NJ, Owens B. Ludwig’s angina was diagnosed clinically, and treatment with intravenous nafcillin was started. Pericoronitis xdalah inflammation of ludwiig tissue surrounding a third molar, or wisdom tooth. Orofacial soft tissues — Soft tissues around the mouth. Infectious diseases Bacterial disease: Rickettsia typhi Murine typhus Rickettsia prowazekii Epidemic typhusBrill—Zinsser diseaseFlying squirrel typhus.

Angina Ludovici. Case presentation

She had no respiratory distress or cyanosis. Fever developed on the day of admission, and she had reduced fluid intake and urine output.

Signs inside the mouth may include elevation of the floor of mouth due to sublingual space involvement and posterior displacement of the tongue, creating the potential for a compromised airway. Surgical drainage may be indicated if no clinical improvement is seen within 24 hours.


Antibioticscorticosteroidsendotracheal intubationtracheostomy [1]. Odontogenic maxillofacial space infections at a tertiary referral centre in Northern India: Immediate access to this article. Board Review Manuals are clinical monographs designed to supplement other materials used to prepare for board exams. A total of In fact, the same microorganisms responsible for less morbid head and neck infections are found in causing extensive infection throughout the floor of mouth and neck [14] when Ludwig’s angina is critically reviewed.

The case is important as it illustrates the need to recognize that the early treatment of disease is necessary to avoid disastrous consequences and the importance to liaise with anaesthetic colleagues in order to keep the patient intubated for a period of time in order for the postoperative swelling and oedema to settle.

Spread of process superiorly and posteriorly elevates floor of mouth and tongue. Ludwig’s Angina in Children.

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Predisposing factors include dental caries, recent dental treatment, sickle cell disease, a compromised immune system, trauma and tongue piercing. Didactic features help residents sharpen their skills. Based on symptoms and examination, CT scan [1]. The Journal of Emergency Angins.

Angina Ludovici. Case presentation

Cellulitis may first appear as a red, swollen area that feels hot and tender to the touch. Current and past volumes cover more than 20 specialties.


This page was last edited on 18 Decemberat A salivary gland infection occurs when a bacterial or viral infection affects your salivary gland or duct. Management of deep neck infection.

The most serious complication of course is respiratory embarrassment. If the swelling is interfering with your breathing, the first goal of treatment is to clear your airway. Prevention and Treatment of Traveler’s Diarrhea.

Another study, 8 involving patients who had deep neck abscesses, included 21 children aged 10 years and younger. Retrieved from ” https: Email Alerts Don’t miss a single issue.

D ICD – It often follows a mouth injury or infection, such as a tooth abscess. You should go to the emergency room or call if this occurs. The case is presented with clinical photographs and a video of the fibreoptic intubation to illustrate the airway.

Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: In our case, our patient had severe trismus which is suggestive of involvement of the submasseteric space which was explored thoroughly. Salmonella enterica Typhoid feverParatyphoid feverSalmonellosis.