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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There was frank pus discharging from the operculum of the partially erupted lower right wisdom tooth. Board Review Manuals are clinical monographs designed to supplement other materials used to prepare for board exams. Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus.

Angina Ludovici. Case presentation

Symptoms include severe neck pain and swelling, fever, malaise and dysphagia. More in Pubmed Citation Related Articles.

A boy aged 33 months presented to the emergency department because of progressive enlargement under the chin for one day and inability to swallow. Pediatr Clin North Am. Doctors perform it in emergency situations. Examination may reveal carious molar teeth, neck rigidity or drooling. Wilhelm Frederick von Ludwig “.

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Extubationwhich is the removal of endotracheal tube to liberate the patient from mechanical ventilation, should only be done when the patient’s airway is proved to be patent, allowing adequate breathing. Orofacial soft tissues — Soft tissues around the mouth. Please review our privacy policy. Views Read Edit View history. Learning Points Recognize the condition early.

Blind nasal intubation should be avoided as it could cause bleeding, laryngospasm, oedema of the airway, rupture of pus into the oral cavity, and aspiration.

Trismus also occurs, as experienced by the child in the second illustrative case. A month-old girl was admitted to the hospital because of swelling below the chin that had increased during the previous two days.

Saifelddeen K, Evans R. He was kept in the Accident and Emergency Resuscitation for one-to-one monitoring until he was taken to the operating theatre for intubation Figure 1.

Frontline Medical Communications Inc. Video of fibre-optic nasal intubation illustrating swollen base of tongue and epiglottis.

Culture was sterile, as was the initial blood culture. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. Ludwig’s angina is a form of severe diffuse cellulitis with bilateral involvement, primarily of the submandibular space with adalzh sublingual and submental spaces also being involved.

Ludwig’s Angina

Angioneurotic oedema, lingual carcinoma and sublingual haematoma formation following anticoagulation should be ruled out as possible diagnoses.


Delayed treatment adalau your risk for potentially life-threatening complications, such as:. OtorhinolaryngologyOral and maxillofacial surgery. Clinical Review of Oral and Maxillofacial Surgery: It is therefore essential to act quickly so as not to lose the airway.

Ludwig’s Angina in Children – – American Family Physician

The patient was kept intubated for 72 hours Figure 2 before being safely extubated and transferred to the ward. Fever, pain, a raised tongue, trouble swallowing, neck swelling [1]. Alternative choices include cefoxitin sodium Cefoxil or combination drugs such as ticarcillin-clavulanate Timentinpiperacillin-tazobactam Zosyn or amoxicillin-clavulanate Augmentin.

Odontogenic maxillofacial space infections at a tertiary referral centre in Northern India: Report of adallah case and review of the literature”. Periapical, mandibular and maxillary hard tissues — Bones of ada,ah Agnathia Alveolar osteitis Buccal exostosis Cherubism Idiopathic osteosclerosis Mandibular fracture Microgenia Micrognathia Intraosseous cysts Odontogenic: Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.