Overview
Ludwig’s angina describes cellulitis of the floor of the mouth associated with neck swelling and the sensation of choking or suffocating, from which it gets the name ‘angina’. Most cases follow odontogenic infections (infections within the teeth or surrounding tissues). It is life-threatening as it can cause airway obstruction.
Presentation
Features of Ludwig’s angina include:
- Neck swelling and a sensation of suffocating
- Airway obstruction – such as stridor
- Elevation of the mouth floor and tongue
- Drooling
- Fever
- Dysphagia
Management
Management involves intravenous antibiotics and airway management.
