Ludwig angina

Case contributed by Dr Yair Glick

Presentation

Swelling of chin and floor of mouth. Recent extraction of mandibular incisor.

Patient Data

Age: 55 years
Gender: Female
CT

Sublingual-submental-submandibular peripherally enhancing high-attenuation fluid collection, overall dimensions 4.9 x 4.0 x 2.1 cm. No airway narrowing.

Case Discussion

The patient was a diabetic with end-stage renal disease who developed pain and swelling in the chin following dental work, despite being on oral antibiotics.
She was admitted to the ENT department for high-dose IV Augmentin. Puncture under local anesthesia did not yield pus. Under antibiotic treatment, pain and swelling subsided.
 

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