User:Entludwigangina

Ludwig angina:             introduction:               bilatral cellulitis of sub lingual and sub mandibular spaces which may compromise air way. Diagnosis:                  signr and symptoms:    severe cellulitis charactrised by inability to close mouth and drooling ,inability to swallow ,dysphonia. Dysponea,strider,fever,chils and tachycardia. Severe pain and tenderness around sub mandibular region. Tissue hardening around sub mandibular region. Investigations>swab for chances of diphtheria inf.Blood tests>usually negative but usefull in immuno comprnmised. Gram staining and culture. Imaging:>ct scan. and plain radiographs showing swelling and air way obstructinn. Management::incision and drainage.And may be tracheostomy. Contanious reassesment of the case to asses. Fmperical therapy..>initialy high dose and intravenous administr. Regimes>inject of cephalospnrin i.e ceforoxime and plus metrondzl. 2.Clindamycine and plus cipro.. .Eteology:>staphylo aurinus,strepto,fusobacterium,h.Influenzi,bacteriods,actinomyces..Risk factors>oral unhxgine,tooth extractinn,peri tonsilar abcess,trauma to flour of oral cavity,dental or perio dontal infection,and i.v drug abuse.