Ludwigâs angina (severe infection in the floor of the mouth and neck)
About Ludwigâs angina (severe infection in the floor of the mouth and neck)
A bacterial infection of the floor of the mouth that may arise from a dental infection or abscess. The floor of the mouth has a `woody` feel with palpation. The infection can progress rapidly and block the airway leading to death. Good dental care is the best way to avoid the advanced dental disease that may lead to this disorder.Symptoms
Breathing difficulty, confusion or other mental status changes, fever, neck pain, drooling, neck swelling, redness of the neck, weakness, fatigue, excessive tiredness.Tests & Diagnostics
A history and physical exam will be performed. A CT scan or MRI to delineate the extent of infection, and a culture of the abscess to identify the bacteria may be recommended.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, MRI, Urinalysis (UA).
Conventional treatment summary
If airway obstruction is suspected an artificial airway must be obtained either through the mouth or sometimes surgically through the neck. Intravenous antibiotics are given. Dental treatment may be needed to treat tooth infections that cause Ludwig's angina. Surgery may be needed to drain an abscess or other collections of fluid that are cause airway compression.Medical specialties
Ear, Nose, and Throat (ENT) · Pediatric ENT (Otolaryngology) · Oral and Maxillofacial Surgery
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Ludwigâs angina (severe infection in the floor of the mouth and neck).