Ludwig angina progressing to fatal necrotizing fasciitis

March 24, 2013
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Imaging Clinic

Ludwig angina will appear as a diffuse swelling of the soft tissue of the floor of the mouth with adjacent subcutaneous fat stranding, and thickening of the platysma with gas or pus formation.

Ludwig angina is a rapidly progressing, necrotizing cellulitis of the submandibular space.1 Predisposing factors include poor dental hygiene, recent dental procedures, diabetes mellitus, alcoholism, tobacco smoking, malnutrition, intravenous drug use, and immunosuppression.1 Ludwig angina is typically a polymicrobial infection that includes both aerobic and anaerobic bacteria.1,2

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