Ludwig's angina

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