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Case No. 171
0000-00-00~0000-00-00
출제자 : 관리자
Hit : 310
| Period | 0000-00-00~0000-00-00 |
|---|---|
| Diagnosis | |
| Clinical information | 32세 여자환자로 최근 수일 간 지속된 턱 밑 및 상부경부의 종창 및 통증을 주소로 내원 |
| Discussion | Ludwig angina (submandibular and sublingual infection) 영상소견: Multiple, peripheral rim enhancing, irregular low density lesions in both submental/submandibular regions and both sublingual regions. Reviews: Alternative Names: Submandibular space infection; Sublingual space infection Definition: Ludwig's angina is a bacterial infection of the floor of the mouth. It involves swelling that may block the airway. Causes: Ludwig's angina is a type of cellulitis that involves inflammation of the tissues of the floor of the mouth, under the tongue. It often occurs after an infection of the roots of the teeth (such as tooth abscess) or a mouth injury. This condition is uncommon in children. Symptoms: Swelling of the tissues occurs rapidly and may block the airway or prevent swallowing of saliva. Symptoms include: breathing difficulty, confusion or other mental changes, fever, neck pain, neck swelling, redness of the neck, weakness, fatigue, excessive tiredness Additional symptoms that may be associated with this disease: earache, Drooling 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 penicillin-like drug, 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 has gone away. Dental treatment may be needed to treat 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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