Ludwig's angina: Difference between revisions
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*Intubation may be very difficult | *Intubation may be very difficult | ||
==Diagnosis== | == Diagnosis == | ||
*Mouth pain, drooling, trismus, tongue protrusion,stridor | *Mouth pain, drooling, trismus, tongue protrusion,stridor | ||
*Acute laryngospasm with airway compromise is biggest concern | |||
*Suggested by dyspnea or cyanosis | |||
*Clinical diagnosis, but CT with IVC can define abscess | |||
*May lose airway in scanner when pt lies flat, however | |||
*Weigh the risks and benefits | |||
==Treatment== | ==Treatment== | ||
Revision as of 15:21, 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
- Acute laryngospasm with airway compromise is biggest concern
*Suggested by dyspnea or cyanosis
- Clinical diagnosis, but CT with IVC can define abscess
*May lose airway in scanner when pt lies flat, however *Weigh the risks and benefits
Treatment
- Abx
- Must cover typical oral flora
Disposition
- Admit
Source
Tintinalli