Ludwig Angina (Severe Mouth Infection)
Description
A bacterial infection of the floor of the mouth that arises from a dental infection or abscess. The floor of the mouth has a "woody" feel with palpation. The infection can progress rapidly and obstruct the airway leading to death. Good dental care is the best way to avoid the advanced dental disease that leads to this disorder.
Symptoms
Breathing difficulty, confusion or other mental changes, fever, neck pain, drooling, neck swelling, redness of the neck, weakness, fatigue, excessive tiredness.
Tests
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 done.
- CBC
- Chem 12
- UA
- CT Scan
- MRI
Treatment
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 fluids that are causing the swelling
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