When a Toothache Becomes an Emergency

A 68-year-old man develops severe Neck Swelling, fever, and difficulty swallowing after a toothache. Explore this critical case of a rapidly progressing infection.

Ludwig's angina


A 68-year-old man presented to the emergency department with a 2-day history of swelling of the neck. One week before presentation, he had a toothache, followed by fever and progressive difficulty and pain with swallowing both solids and liquids. Examination showed right submandibular and submental swelling with marked edema of the floor of the mouth, resulting in superior displacement of the tongue. What is the diagnosis?

What is the most likely diagnosis?

Oropharyngeal carcinoma
Sarcoidosis
Ludwig’s angina
Sialolithiasis
IgG4-related disease

Airway Management, Cellulitis, Ludwig’s angina, Neck Swelling, Odontogenic Infection

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