Background. Angina Ludovici (Ludwig’s angina) is a severe infection of the connective tissue from the floor of the mouth, usually occurring. rare disorder, Ludwig’s angina is a serious, potentially life-threatening infection of the neck and the floor of the mouth (Table 1). Originally described by Wilhelm. Abstract: Ludwigs angina is a disease which is characterised by the infection in the floor of the oral cavity. Ludwig’s angina is also otherwise commonly known.

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Angina Ludovici. Case presentation

Video of the fibreoptic intubation illustrating swollen base of tongue and swollen ludwit. Gram-negative organisms such as Neisseria catarrhalis, Escherichia coli, Pseudomonas aeruginosa and Haemophilus influenzae have also been reported. In our case, our patient had severe trismus which is suggestive of involvement of the submasseteric space which was explored thoroughly.

Tips for Preventing Oral Health Problems Poor oral health can undermine a person’s self-image, make it hard to find a job, and contribute to inattention and lackluster performance in school.

The signs and symptoms of Ludwig’s angina are the result of a rapidly expanding cellulitis. All the drains were removed by the 6th postoperative day, and the patient was discharged on the 7 th Figure 5.

Read the full article. Culture was sterile, as was the initial blood culture.

Ludwig’s Angina: The Original Angina

The Annals of Otology, Rhinology, and Laryngology. Ludwig’s angina Synonyms Angina Ludovici Swelling in the submandibular area in a person with Ludwig’s angina. If the swelling is interfering with your breathing, the first goal of treatment is to clear your airway.


Infectious diseases Bacterial disease: Patients usually recover without complications. In addition, helping physicians study for board reviews, maintain certification, and earn continuing education credit is an important part of our mission as these efforts ultimately impact quality care.

Although distorted anatomy, oedema, and secretions may contribute to difficulty with fibreoptic intubation, in skilled hand, flexible fibreoptic adalwh intubation is the preferred method of airway management [ 3 ] with high rates of success [ 4 ]. Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal melanoma Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma Ldwig sponge nevus.

You should brush your teeth twice every day and use mouthwash with antiseptic liquid once per day. The white blood cell count was 14, cells per mL Examination may reveal carious molar teeth, neck rigidity or drooling.

In fact, the same microorganisms responsible for less morbid head and neck infections are found in causing extensive infection throughout the floor of mouth and neck [14] when Ludwig’s angina is critically reviewed.

Schulman NJ, Owens B. It provides concise review articles and case reports on a wide range of clinical topics. Associated Data Supplementary Materials Video of fibre-optic nasal intubation illustrating swollen base of tongue and epiglottis. Antibioticscorticosteroidsendotracheal intubationtracheostomy [1].


Ludwig’s Angina

It is named after a German physician, Wilhelm Frederick von Ludwigwho first described this condition in In the past, there have been occasions in our unit where the patient has been extubated postoperatively and needed to go back to theatre for an emergency awake tracheostomy, hence, the prolonged ludiwg. Get immediate access, anytime, anywhere.

Rickettsia luvwig Flea-borne spotted fever. Gum Disease Gingivitis Gingivitis is an inflammation of the gums caused by a bacterial infection. Your outlook depends on the severity of the infection and how quickly you seek treatment. This is to allow the oedema to settle which will inevitably get worse postoperatively and can compromise the airway further.

Ludwig’s angina

He was kept in the Accident and Emergency Resuscitation for one-to-one monitoring until he was taken to the operating theatre for intubation Figure 1. Published online May Deep neck abscesses—changing trends.

Spaces created by various fasciae of the neck are potential areas of infection. On examination, the patient had swelling, erythema and tenderness in the submandibular area. Already adalay member or subscriber? Brucellaceae Brucella abortus Brucellosis.