Ludwig's angina: Difference between revisions

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==Background==
== Background ==
*Infection of submandibular space
 
*85% of cases arise from an odontogenic source
*Infection of submandibular and sublingual spaces
*85% of cases arise from an odontogenic source, usually mandibular molars
*Patients usually 20-60 yrs old, male predominance
*Streptococcus, Staphylococcus, and Bacteroides spp. are pathogens
*Intubation may be very difficult
*Intubation may be very difficult



Revision as of 15:17, 11 September 2011

Background

  • Infection of submandibular and sublingual spaces
  • 85% of cases arise from an odontogenic source, usually mandibular molars
  • Patients usually 20-60 yrs old, male predominance
  • Streptococcus, Staphylococcus, and Bacteroides spp. are pathogens
  • Intubation may be very difficult

Diagnosis

  • Mouth pain, drooling, trismus, tongue protrusion,stridor

Treatment

  • Abx
    • Must cover typical oral flora

Disposition

  • Admit

Source

Tintinalli