Atypical Presentation of Ludwig Angina: Diagnostic and Therapeutic Complications in a Rare Case

Finding the clinical significance of facial swelling was of utmost importance in this case. Ludwig angina is a life-threatening cellulitis of the floor of the mouth that is mainly due to infectious causes. This particular patient had an atypical presentation except for the facial swelling in which the patient's non-specific symptoms made it difficult to obtain a diagnosis. Severe edema can make it difficult to intubate the patient; however, our case did not present with any common symptoms such as this. This is why it is of utmost importance to maintain dental/mouth hygiene and maintenance because of complications such as Ludwig angina. Ludwig angina is becoming more common amongst hospitals, but being able to obtain a diagnosis quickly even with atypical symptoms is of top priority for resolution.

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Publication Details

Journal
Cureus
Published
2025-11-28
DOI
https://doi.org/10.7759/cureus.98046
Primary Topic
Otolaryngology and Infectious Diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

Atypical Presentation of Ludwig Angina: Diagnostic and Therapeutic Complications in a Rare Case

GREGORY R. CRAWLEY, Vy Nguyen, Peyman Arghavani, Himaja Movva
Cureus
Otolaryngology and Infectious Diseases
article

Atypical Presentation of Ludwig Angina: Diagnostic and Therapeutic Complications in a Rare Case

GREGORY R. CRAWLEY, Vy Nguyen, Peyman Arghavani, Himaja Movva
article en

Abstract

Finding the clinical significance of facial swelling was of utmost importance in this case. Ludwig angina is a life-threatening cellulitis of the floor of the mouth that is mainly due to infectious causes. This particular patient had an atypical presentation except for the facial swelling in which the patient's non-specific symptoms made it difficult to obtain a diagnosis. Severe edema can make it difficult to intubate the patient; however, our case did not present with any common symptoms such as this. This is why it is of utmost importance to maintain dental/mouth hygiene and maintenance because of complications such as Ludwig angina. Ludwig angina is becoming more common amongst hospitals, but being able to obtain a diagnosis quickly even with atypical symptoms is of top priority for resolution.

CureusVol. 17(11)
California Miramar University (US), Dignity Health (US)
Openalex Percentile: Top 56%
Otolaryngology and Infectious Diseases
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Atypical Presentation of Ludwig Angina: Diagnostic and Therapeutic Complications in a Rare Case — GREGORY R. CRAWLEY, Vy Nguyen, et al. · Cureus (2025) | TGRS Research Map | TGRS