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Angina Von Ludwig

Complication

- Airway compromise (respiratory disturbance) leading to death


- Ludwig’s Angina continues to be a cause of a significant morbidity and mortality. The infection
can spread :
1) Inferiorly to larynx : glottis edema
2) Inferiorly : pericardial or pleural effusion(empyema)
3) Inferiorly to retropharyngeal space : infection at mediastinum (mediastinitis)
4) Posteriorly to pharyngeal space : jugular vein thrombosis
5) To pterygopalatina fossa : meningitis, thrombosis, sinus cavernosus
6) Osteomyelitis of the mandible and cervical spine
7) Maxillary sinusitis
8) Digestive tract disturbance

Prognosis

Prior to antibiotics the mortality of Ludwig’s Angina was over 50%(high mortality rate), but with
antibiotics and airway management mortality is now less than 10%

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