Angina Ludovici

Angina Ludovici

ETIOLOGY
- Deep space neck contamination on the submandibular, submental, as well as sublingual spaces
- Frequently odontogenic inside origins (molars normally) as well as immunocompromised (diabetes patients)
- Combined cardiovascular and anaerobic etiology

SYMPTOMS/EXAM
- Brawny induration of the floor from the mouth area (traditional)
- Bilateral bloating
- Ache, edema, trismus, as well as ogling
- Dysphonia along with dysphagia
- Mouth displaces posteriorly as well as superiorly, which might lead to throat compromise
- Nausea, dangerous physical appearance

PROGNOSIS
- Medical
- Take into account later on guitar neck X-ray or CT together with 4 distinction, if unsure

TREATMENT METHOD
- ABCs, of course!
- ICU entrance
- IV antibiotics (PCN or perhaps cephalosporin also clindamycin)
- ENT consult: Incision and drainage about sufferers together with abscess and imminent complications or perhaps failing to answer prescription antibiotics

DIFFICULTIES
- Throat blockage
- Off shoot associated with an infection may occur, leading to mediastinitis, intracranial an infection, or even IJ thrombophlebitis