Ludwig's Angina

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Etiology

Infected second or third molar (Streptococcus and anaerobes)

Presentation

  • Swelling (induration) of the submandibular space and posterior displacement of the tongue resulting in fever, dysphagia, odynophagia and drooling
  • Crepitus may be present (anaerobes)

Complications

Asphyxiation

Treatment

  • Intubation if necessary
  • Antibiotics (penicillin, clindamycin, metronidazole?)
  • Removal of infected tooth