Management of Ludwig’s angina: A case report

Background: Ludwig's angina is a progressive cellulitis of the soft tissues of the neck and floor of the mouth that spreads quickly and frequently results in death. It is an infection which affects the sublingual, submental, and left and right submandibular spaces. Because it might obstruct airways, the condition is an emergency that needs to be treated right away Purpose: The purpose of writing this article is to describe the treatment of Ludwig’s angina. Case: A 31-year-old male patient came with a chief complaint of swelling on the right cheek in the last 4 days. The patient had a history of hepatitis B. Clinical examination showed facial asymmetry, deep caries of 36 and 47, root remains of 37. Case management: Patient was treated by multiple extraction, incision and drainage of abscess, and exploration of mediastinum under general anesthesia. Conclusion: This case report shows that prompt treatment of Ludwig's angina provides great outcome. Patients with comorbidities may require intensive care which decreasing the risk of fatality.