Ludwigs Angina

• Pathophysiology: bilateral cellulitis of submandibular and sublingual spaces

• SSx: "wooden" floor of mouth, neck swelling and induration, drooling, respiratory distress, swollen tongue, dysphagia, trismus, may rapidly progress to airway compromise

• Complications: rapid respiratory compromise, sepsis

• Rx: early local tracheotomy, external incision (usually straw-colored weeping but no true abscess fluid), aggressive antibiotic therapy

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