LUDWIG ANGINA: Causes, Clinical Picture, Diagnosis and Management


Ludwig Angina is a bacterial cellulitis in the floor of the mouth triggered by a tooth infection (usually second or third mandibular molar). Ludwig angina is caused by streptococci or anaerobes.



Ludwig angina can displace the tongue backwards and obstruct the upper airway (medical emergency).

Ludwig angina is described as a firm, bilaterally symmetric submandibular induration.

The typical patient is a smoker, alcoholic with bad hygiene and tooth infection.
Management is via antibiotics, incision and drainage of the abscess (cellulitis) and maintaining the airway.