Not seen in Ludwig&;s angina
Correct Answer: Aphthous ulcer in pharynx
Description: Ludwig angina is a type of bacterial infection that occurs in the floor of the mouth, under the tongue. It often develops after an infection of the roots of the teeth (such as tooth abscess) or a mouth injury. This condition is uncommon in children. CLinical features: There is marked difficulty in swallowing (odynophagia) with varying degrees of trismus. When infection is localized to the sublingual space, structures in the floor of mouth are swollen and tongue seems to be pushed up and back. When infection spreads to submaxillary space, submental and submandibular regions become swollen and tender, and impa woody-hard feel. Usually, there is cellulitis of the tissues rather than frank abscess. Tongue is progressively pushed upwards and backwards threatening the airway. Laryngeal oedema may appear. Complications: 1.Spread of infection to parapharyngeal and retropharyngeal spaces and thence to the mediastinum. 2. Airway obstruction due to laryngeal oedema, or swelling and pushing back of the tongue. 3.Septicaemia. 4.Aspiration pneumonia. Ref - otolaryngology Dhingra 6E p263
Category:
ENT
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now