Ludwig's Angina
Abstract
Introduction: Ludwig's angina is an infectious disease that primarily affects the floor of the mouth. It is essentially caused by second and third molar abscesses; it has an insidious onset, so delayed diagnosis can have fatal consequences.
Objective: Characterize Ludwig's Angina and present the symptoms of two clinical cases.
Clinical case: 1. 19-year-old black male patient with poor oral hygiene, high fever, trismus associated with odynophagia. Physical examination: Protrusion of the tongue, increase in volume of the left hemiface, submental and anterior cervical region, with great facial asymmetry. 2. 35-year-old black female patient with high fever and respiratory distress. Physical examination: increase in volume of the submandibular, submental and anterior cervical regions, more pronounced towards the right side of the face. Computed tomography of the neck in both cases: Extensive inflammatory process involving the submandibular glands with distortion of their usual anatomy, the floor of the mouth, bulging the soft tissues.
Conclusions: In Ludwig's angina, the diagnosis is based especially on clinical criteria; it must be made in a timely manner to initiate the most appropriate treatment and prevent the appearance of complications, which can be fatal.
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Copyright (c) 2024 Alejandro Naranjo Amaro, Orlando Cobo Vidal, Ana Alfa Ledo de la Luz, Euridys Mauri Rodriguez
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