Failure to Diagnose Ludwig’s Angina: When a Dental Infection Becomes a Life-Threatening Airway Emergency
Ludwig's angina is a rapidly progressing bacterial infection of the floor of the mouth and tissues beneath the tongue. Although it often begins as a routine dental infection, Ludwig's angina can quickly spread into the neck, causing severe swelling that obstructs the airway. Without prompt diagnosis and treatment, patients can suffer respiratory failure, sepsis, permanent disability, and death. Because the early symptoms often resemble a toothache, dental abscess, or sore throat, healthcare providers may underestimate the severity of the infection. When emergency physicians, dentists, oral surgeons, urgent care providers, or hospitals fail to recognize the warning signs, the consequences can...