Ludwig's angina is a serious and rapidly spreading infection that causes swelling in the neck, which can lead to suffocation of the patient, and surgery in Turkey is the best solution in severe cases.
The neck area is an important area for the presence of lymph nodes and spaces prone to infection, as it is in close contact with the upper respiratory and digestive systems.
The oral cavity is one of the most common areas of infection harboring for many reasons, such as poor oral health and problems in the periapical areas of the teeth, so it is important to conduct examinations of the entire oral cavity, from tooth decay to the floor of the mouth to investigate the presence of edema that may pose a threat to the upper respiratory tract.
Ludwig's angina (or Ludwig's diphtheria) is a rare but serious bacterial infection of the mouth, neck, and jaw area. This serious condition is more common in men than women and in adults with varying ages as shown Studies.
Ludwig's angina is a type of cellulitis that occurs in the submandibular, sublingual, and under the chin spaces. It is characterized by its rapid spread to tissues, and is manifested by swelling in the submandibular region with a rise in the floor of the mouth and tongue, which may lead to breathing difficulties or even completely obstruction if Leave untreated.
Causes of Ludwig's angina
poor oral hygiene and bacteria resulting from dental infections; Ludwig's croup can occur in the presence of caries or dental abscesses (usually in the area of the second and third molars) or when there is inflammation in the gums or the tissues supporting the teeth.
Streptococcus and staphylococcus are the most common bacteria that cause Ludwig's croup, especially Streptococcus viridans, Staphylococcus epidermidis, and Staphylococcus aureus.
What increases the risk of developing Ludwig's angina?
You may be at risk of developing Ludwig's angina or angina if you have any of the following:
- jaw bone fracture
- tongue piercing
- Jaw bone infection
- Oral infections
- Tonsil abscesses
- Salivary gland infections
- thyroid cyst
Signs and symptoms of Ludwig's angina
Often the symptoms of Ludwig's angina mainly include fever, mouth pain, neck swelling and swelling of the tongue, in addition to other symptoms that may appear including chills, neck pain and stiffness, sore throat, pain and difficulty swallowing, drooling, limited opening of the jaw, difficulty speaking, and ear pain.
In severe cases of Ludwig's angina, or when left untreated, symptoms such as:
How is Ludwig's angina diagnosed?
With a physical examination of the neck, jaw, and lymph nodes, and an examination of the inside of the mouth, chest, and lungs, in most cases this physical examination shows sufficient symptoms to diagnose Ludwig's angina.
If the diagnosis is not resolved, a blood and saliva culture may be requested to verify the presence of bacteria. A CT scan or magnetic resonance imaging (MRI) may also be done using contrast dye. Through these procedures, the mouth, neck and jaw are examined to look for swelling, gas, or Pus (pus) or inflammation.
What are the complications of Ludwig's angina?
With prompt treatment of Ludwig's angina, a good recovery can be expected with few or no effects. If left untreated, there are many serious complications associated with Ludwig's angina that may be life-threatening, such as:
- septic shock
- Lung infection with pus
- Inflammation or injury to the heart
- A blood clot in the neck
- Carotid artery distention and aneurysm
- chest infection
These complications can lead to early death because the infection spreads quickly and prevents the passage of air for breathing, so prompt treatment of Ludwig's angina is the best course of treatment.
How to treat Ludwig's diphtheria
Ludwig's diphtheria must be treated immediately as it is a serious and rapidly spreading infection that may affect the airway, so it is first ensured that the patient can breathe properly.
If breathing is partially restricted, a breathing tube may be placed through the mouth or nose, and if breathing is severely restricted, the patient may have a tracheotomy and tube insertion.
Ludwig's angina causes fluid to accumulate in the neck and jaw area, so it is important to drain this fluid through an incision in the area so that the patient can breathe easier.
Intravenous antibiotics are also prescribed to help treat the bacteria, as well as orally once the infection has cleared to ensure that symptoms do not return.
Prevention of Ludwig's angina
In most cases, you can help prevent this rare and serious skin infection.
Try to avoid piercing the tongue or mouth as these holes may allow bacteria to invade the jawbone and soft tissues. If you experience any toothache, bleeding gums, or loose teeth, make an appointment with your dentist as soon as possible.
Good oral hygiene should also be one of the first preventative measures. Make sure you brush and floss your teeth every day.
Visit your dentist regularly to check for cavities, abscesses or plaque buildup. With good care and a healthy diet, you can reduce your risk of developing Ludwig's croup.
Why should I choose treatment in Turkey?
The reason for this is due to the presence of advanced medical centers that provide appropriate treatment by the most skilled doctors and the latest medical devices at a low cost.
Frequently asked questions about Ludwig's angina
Can dental infections spread to the neck area?
Left untreated, a dental infection can spread to the face and/or neck. A severe infection can spread to further parts of the body, and in rare cases, the infection may become systemic, affecting many tissues throughout the body.
Is Ludwig's angina an emergency?
Ludwig's angina is a form of acute cellulitis that spreads rapidly, making it an emergency. Early diagnosis and prompt treatment planning can be a life-saving procedure.
Why angina pectoris threatened Ludwig?
Ludwig's angina in particular impairs breathing due to its natural tendency to cause edema and obstruction of the airway, which can lead to suffocation.
Why was Ludwig's angina named by that name?
Ludwig's angina is named after a German doctor Wilhelm Friedrich von Ludwig who first described it in 1836.
How is Ludwig's angina treated in Turkey?
In the early stages, treatment is usually prescribed with antibiotics intravenously IV until the symptoms disappear, The patient may then need to take oral antibiotics for some time under the supervision of a doctor.