Ludwig's angina
Alternative names:
cellulitis, neck; neck abscess; neck infection; sublingual infection; submandibular space infection
Treatment:
Ludwig's angina may involve swelling to the extent that it blocks the airway. This is an emergency situation!
The goal of emergency treatment is to maintain an open airway. This may involve intubation (breathing tube placed through the mouth or nose and into the lungs) or tracheostomy (direct opening to the lungs through surgical placement of a tube at the base of the neck).
The goal of treatment of the disorder is eradication of the infection.
Antibiotics, preferably penicillin or a penicillin-type, are given to treat the infection. Usually these are given intravenously (in a vein) until the symptoms reduce, then the antibiotics are continued as oral medications until cultures are negative.
Dental examination and intervention may be appropriate to treat tooth infections that cause Ludwig's angina.
Surgery may be recommended, including drainage of the swelling through cuts (incisions) or placement of drain tubes in the neck.
Expectations (prognosis):
Ludwig's angina can be life threatening, however, it is usually cured with adequate antibiotic therapy.
Complications:
Calling your health care provider:
Call your health care provider if symptoms indicate Ludwig's angina may be present, of if Ludwig's angina has been diagnosed and symptoms persist or do not improve after treatment.
Go to the emergency room or call the local emergency number (such as 911) if difficulty breathing occurs.
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