Exams and Tests
An examination of the neck and head shows redness and swelling of the upper neck, under the chin. The swelling may reach to the floor of the mouth. The tongue may be swollen or out of place.
A CT scan of the neck may be recommended. Culture of fluid from the tissues may show bacteria.
Treatment
If the swelling blocks the airway, emergency medical help is needed to maintain an open airway. This may involve placing a breathing tube through the mouth or nose and into the lungs, or surgery called a tracheostomy that creates an opening through the neck into the windpipe.
Antibiotics, usually penicillin or a penicillin-like medication, are given to fight the infection. They are usually given through a vein until symptoms go away. Antibiotics taken by mouth may be continued until tests show that the bacteria have gone away.
Dental treatment may be needed for tooth infections that cause Ludwig’s angina.
Surgery may be needed to drain fluids that are causing the swelling.
Outlook (Prognosis)
Ludwig’s angina can be life threatening. However, it can be cured with proper protection of the airways and appropriate antibiotics.
Possible Complications
* Airway blockage
* Generalized infection (sepsis)
* Septic shock
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