A 78 year-old female with a past medical history of asthma and hypothyroidism presents with a three day history of sore throat and a two day history of a “lump” along the right side of her neck. The “lump” has now progressed to involve both sides of her anterior neck and is accompanied with erythema, tenderness to palpation, and swelling. In addition, the patient has developed a hoarse voice and odynophagia. The patient’s primary care physician referred her to an ENT specialist, who then referred the patient to the ED for urgent imaging due to the concern for a deep space neck infection. Triage vitals are remarkable for a heart rate of 118 beats per minute. She is otherwise normotensive and afebrile. On physical exam, slight crepitation in noted on the floor of the patient’s mouth. Of note, the patient also informs you of her penicillin allergy. Which of the following is the biggest risk factor for this particular disease process? A) Parotitis B) Dental Infections C) Peritonsillar Abscess D) Immunocompromised State

18 Likes

LikeAnswersShare

B. Case of Ludwigs angina

yes sir
0

Looking like Ludwig's angina following dental infections. Answer is B Treatment is Maintain airway Trachestomy if necessary Antibiotics to treat underlying tooth infections

b dental infection as it is case of Ludwig angina

B) dental infection Ludwig angina

its a case of b) Ludwigs angina

Ya its Ludwings Angina much more rare cases !.......

B. dental infection

Ludwig Angina

d.immunocompromised d/t h/o asthma,hypothyroidism because pt will taken corticosteroid long term

dental infection

Load more answers