Presentation
Swelling in the floor of the mouth several days after a dental procedure.
Patient Data
Age: 40 years
Gender: Female
From the case:
Ludwig angina
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- Edema and inflammation within the submandibular and sublingual spaces (floor of mouth), involving the left mylohyoid muscle and left anterior belly of digastric
- Prominent left superficial cervical lymph nodes
- Narrowing of the oropharynx at the level of the base of tongue
- No distinct deep fluid collection
CT findings support a diagnosis of Ludwig angina, inflammation of the floor of mouth.
Case Discussion
Ludwig angina is primarily a clinical diagnosis, but this case demonstrates findings that may be present on CT to support the diagnosis.
The patient in this case did not have clinically significant airway compromise and was treated with antibiotics.
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