Ludwig’s angina

It is a skin infection which occurs in the floor of the mouth, underneath the tongue.It’s mainly a bacterial infection of streptococcus, staphylococcus etc. Primary site of infection is submandibular space (majority are odontogenic in etiology)
Poor dental hygiene, trauma/ laceration in the mouth, recent tooth extraction is the main cause for this condition.Symptoms include progressive swelling of soft tissue, elevation and posterior displacement of tongue, pain/ tenderness in the floor of the mouth, difficulty in swallowing, drooling, fever, redness on neck associated with pain, ear ache etc.The most life threatening complication is air obstruction with mortality of 8%.

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