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Ludwig's angina (Latin: Angina ludovici) is a type of severe cellulitis involving the floor of the mouth [2] and is often caused by bacterial sources. [1] Early in the infection, the floor of the mouth raises due to swelling, leading to difficulty swallowing saliva. As a result, patients may present with drooling and difficulty speaking. [3]
Ludwig's angina is a serious infection involving the submandibular, sublingual and submental spaces bilaterally. [3] Ludwig's angina may extend into the pharyngeal and cervical spaces, and the swelling can compress the airway and cause dyspnoea (difficulty breathing).
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They include dental infection, dental abscess, and Ludwig's angina. Mouth infections typically originate from dental caries at the root of molars and premolars that spread to adjacent structures. In otherwise healthy patients, removing the offending tooth to allow drainage will usually resolve the infection.
Extension of abscess in other deep neck spaces leading to airway compromise (see Ludwig's angina) Airway obstruction; Aspiration pneumonitis; Lung abscess (following rupture) Sepsis; Life-threatening hemorrhage (following erosion or septic necrosis into the carotid sheath of the neck) Glomerulonephritis and rheumatic fever (chronic ...
A few other causes are rare, but possibly fatal, and include parapharyngeal space infections: peritonsillar abscess ("quinsy abscess"), submandibular space infection (Ludwig's angina), and epiglottitis.
Ludwig's angina is a progressive cellulitis involving the submandibular, sublingual and submental spaces bilaterally. Ludwig's angina may extend into the pharyngeal and cervical spaces, and the swelling can compress the airway and cause dyspnoea (difficulty breathing).
Wilhelm Frederick von Ludwig (16 September 1790 – 14 December 1865) was a German physician known for his 1836 publication on the condition now known as Ludwig's angina. Early life [ edit ]