Ludwig angina is an uncommon but dangerous illness of the oral and throat soft tissues. It often originates from a tooth injury or infection and can swiftly extend to the chest, throat, and tongue. Severe discomfort, edema, and trouble breathing and swallowing can all result from it. Additionally, it may result in potentially fatal side effects include sepsis or airway obstruction. Ludwig angina needs to be treated right away with antibiotics and maybe surgery.
Bacteria that enter the mouth from mouth injuries, dental abscesses, or poor oral hygiene are the cause of Ludwig angina. The germs Streptococcus and Staphylococcus are most frequently implicated. The floor of the mouth, the area behind the tongue, the neck, and the chest can all get infected. The salivary glands, neck and jaw muscles, and lymph nodes may also be impacted by the illness. The infection may result in tissue edema and inflammation, which may constrain blood vessels and the airway.
The symptoms of ludwig angina can vary depending on the extent and location of the infection. Some of the common symptoms are:
Fever, chills, and fatigue
Pain and tenderness in the mouth, jaw, and neck
Swelling and redness of the mouth, tongue, and neck
Difficulty swallowing, drooling, and speech problems
Trouble breathing, fast breathing, or noisy breathing
Chest pain or pressure
Confusion or altered mental state
A physician will inquire about the patient's symptoms, lifestyle choices, and medical and dental histories in order to make the diagnosis of Ludwig angina. In addition, the physician will do a physical examination to look for physical indicators of Ludwig angina, such as a sore and swollen neck, a protruding tongue, and limited mouth opening. The physician could also prescribe certain tests, like:
Blood tests, to check for signs of infection, inflammation, or organ damage
X-rays, CT scans, or MRI scans, to show the extent and location of the infection and the swelling
Fluid cultures, to identify the type and sensitivity of the bacteria causing the infection
The treatment of ludwig angina depends on the severity and the complications of the condition. The main goals of the treatment are to clear the infection, reduce the swelling, and restore the breathing and swallowing. The treatment options may include:
Antibiotics, to kill or stop the growth of the bacteria causing the infection. Antibiotics are usually given intravenously (through a vein) and may be combined with other drugs to cover a broad range of bacteria.
Surgery, to drain the pus and fluid from the infected areas and to relieve the pressure on the airway and the blood vessels. Surgery may involve making small incisions or cuts in the mouth or the neck, or inserting tubes or catheters to drain the infection. In some cases, a tracheotomy may be needed, which is a procedure that creates an opening in the neck to insert a breathing tube.
Supportive care, to help the patient breathe, eat, and recover. Supportive care may involve oxygen therapy, fluid therapy, pain relief, and nutritional support.
Some cases of ludwig angina may not be preventable, especially if they are caused by unknown or unavoidable factors. However, some cases of ludwig angina may be prevented or reduced by taking some preventive measures, such as:
Practicing good oral hygiene, which involves brushing the teeth twice a day, flossing daily, and rinsing with an antiseptic mouthwash
Visiting the dentist regularly, which involves having a dental check-up and a professional cleaning at least twice a year, or more often if recommended by the dentist
Treating or preventing any dental problems, such as tooth decay, gum disease, or tooth abscess, that can lead to ludwig angina
Avoiding or quitting smoking, which is a habit that can damage the teeth and the gums, and increase the risk of infection
Eating a healthy and balanced diet, which involves consuming foods that are rich in vitamins, minerals, and antioxidants, to boost the immune system and prevent infection
Seeking medical attention promptly, if there are any signs or symptoms of ludwig angina, and following the treatment plan accordingly
