Facial Swelling After Dental Work Done: A Case of Ludwig's Angina.

Adv Emerg Nurs J

University of Miami School of Nursing and Health Studies, Coral Gables, Florida (Drs Gonzalez and Ortega); Ohio State University College of Nursing, Columbus (Dr McGhee); and University of South Florida College of Nursing, Tampa (Dr Nadeau).

Published: February 2023

Ludwig's angina is a fast-spreading cellulitis located on the floor of the oropharynx and neck (Tami, Othman, Sudhakar, & McKinnon, 2020). Patients may present with a wide range of symptoms depending on the severity of the condition (Reynolds & Chow, 2007). Emergency nurse practitioners need to promptly identify, diagnose, and treat patients with this problem, with close attention to the patient's airway. A compromised airway is the leading cause of mortality from this condition (McDonnough et al., 2019). The diagnosis is generally made with a comprehensive history and physical examination, laboratory values, and imaging studies such as computer tomography (Bridwell, Gottlieb, Koyfman, & Long, 2021). Management includes admission to the hospital, broad-spectrum antibiotics, and specialist surgical consultation (Bridwell et al., 2021).

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Source
http://dx.doi.org/10.1097/TME.0000000000000441DOI Listing

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