LUDWIG ANGINA

• Ludwig angina is cellulitis of submental and submandibular (streptococcoal infection) regions combined with inflammatory oedema of the mouth.

 Predisposing factors-

• Carious tooth
• Cancer of oral cavity
• Calculi in submandibular gland
• Chemotherapy
• Cachexia
• Chronic disease- diabetes

Clinical features–

• Brawny oedema in submandibular and submental region.
• Oedema of the floor of the mouth
• High grade fever
• Putrid halitosis is characteristic feature.

• Antibiotics
• IV fluids & Ryle’s tube feeding
• Surgery- Incision is made in submandibular region is most prominent part of the swelling.

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