Ludwig s angina is a bilateral infection of the submandibular space that consists of two compartments in the floor of the mouth, the sublingual space and the submylohyoid also known as submaxillary space. Defining angina angina is chest pain due to transient myocardial ischaemia, which usually occurs with physical activity or emotional stress, and is relieved by rest or sublingual nitroglycerin. Angina is derived from the latin word angere which means to strangle. It is essentially produced by second and third molar abscesses. We present a case which needed awake fibreoptic intubation due to severe trismus and a prolonged period intubated in the intensive care unit after incision and drainage of neck spaces and removal of his lower wisdom teeth. It is therefore essential to act quickly so as not to lose the airway. Ludwigs angina is a disease which is characterised by the infection in the floor of the oral cavity. Ludwigs angina is a diffuse cellulitis in the submandibular, sublingual, and submental spaces, characterized by its propensity to spread rapidly to the surrounding tissues.
Alejandro miguens uriel catherina monteghirfo nunez c. Carlo oller, emergency physician, talks about ludwigs angina. Ludwigs angina is a form of severe diffuse cellulitis that presents an acute onset and spreads rapidly, bilaterally affecting the submandibular, sublingual and submental spaces resulting in a. Parksis surgical airway necessary for airway management in deep neck infections and ludwig angina. Any difficulties with swallowing, swelling, crepitus, or signs of airway obstruction with recent dental disease should be highly suspicious for ludwig s angina. Carlson, ded, rn, y ellen pfadt, phdc, rn 20 nursing. Ludwigs angina lat angina ludovici is a type of severe cellulitis involving the floor of the mouth. Analysis of 85 consecutive cases rowe d, ollapallil j. A diagnosis of ludwigs angina was made on the basis of bilateral submandibular sialadenitis with sialolithiasis, which had caused the edema in the floor of mouth and the tongue. As the condition worsens, the airway may be compromised with hardening of the spaces on both sides of the tongue.
Ludwigs angina is a lifethreatening cellulitis of the soft tissue involving the floor of the mouth and neck. Abstract ludwig s angina is an infectioncaused disease mainly affecting the floor of the mouth. Any difficulties with swallowing, swelling, crepitus, or signs of airway obstruction with recent dental disease should be highly suspicious for ludwigs angina. Early on the floor of the mouth is raised and there is difficulty swallowing saliva, which may run from the persons mouth. Successful conservative management of ludwigs angina in advanced pregnancy. Previously this disease was deemed as fatal but later on it. Oct 05, 2011 why cant your body handle a punch to the liver. Las bacterias streptococcus y estafilococo son causas comunes. The most serious complication of course is respiratory embarrassment. Ludwigs angina is also otherwise commonly known as angina. Various forms of angina have been described, notably ludwigs angina and vincents angina. Early recognition and treatment for ludwigs angina are of paramount importance due to the myriad of complications that can occur in association with ludwigs angina. Ludwigs angina is a rapidly progressive cellulitis of the submandibular space that can have a high mortality if not promptly recognized and treated. Causes symptoms and treatment aishwarya balakrishnan,m.1101 475 464 909 982 43 1233 849 683 1341 554 1201 1403 1435 19 1013 433 231 768 58 1200 1326 1278 337 370 328 602 825 1284 342 899 1387 59 1271 1360 24 1135 561 389 1196 547 1141 1476 1028 524 909