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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]
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 ...
This infection can spread to the cheeks, orbits/periorbits, and other parts of the face or neck, and occasionally can lead to airway compromise (e.g. Ludwig's angina) requiring emergency hospital treatment. The treatment of pericoronitis is through pain management and by resolving the inflammation.
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 ]
In some cases this condition can be life-threatening when the inflammation compromises the airway; this is termed Ludwig's Angina. [4] A chronic apical abscess can be asymptomatic as the pressure from the inflammation is being drained through a sinus tract; a draining sinus can usually be seen clinically. [4]
Ludwig's angina and cavernous sinus thrombosis are rare but serious complications of odontogenic infections. Severe infections tend to be managed in hospital. Severe infections tend to be managed in hospital.
As a result, Vincent's angina is widely confused with necrotizing ulcerative gingivitis (previously also called "Vincent's gingivitis"), however the former is tonsillitis and pharyngitis, [6] and the latter involves the gums, and usually the two conditions occur in isolation from each other. The term "angina" is derived from a Latin word which ...