LUDWIG’S ANGINA

Chan, Ernest O.

DMD2E

DEFINITIONGerman physician (

Wilhelm Friedrich von Ludwig)(1836)Also known as ”angina ludovici”“Angina Maligna" and "Morbus

Strangularis" life-threatening cellulitis or connective

tissue infection in the floor of mouth.Dental infection (Abscess, Extraction,

Caries)Obstruct the airways

CAUSESBacterial InfectionDental infections (80%) Infected lower molars or

pericoronitis (3rd Molar)Piercings of the lingual frenulum.Submandibular space infection,

Sublingual space infection, Submental space

SIGNS AND SYMPTOMSBilateral edemaSwellingTongue elevatedBreathing difficultyFeverNeck painWeaknessDifficulty swallowing, DroolingEar acheSpeech ("hot potato" in the mouth)

DIAGNOSISClinicalCT scanPalpating

TREATMENTAirway control (Tracheostomy)

(Severe)Surgery (Drainage and

Debridement) by maxillofacial surgeon

Antibiotic medications (Penicillin group)