Ludwig's angina
Revision as of 15:21, 11 September 2011 by Russellm77 (talk | contribs)
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