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Letters to the Editor
November 1999

Ludwig Angina: Early Aggressive Therapy

Author Affiliations

Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Otolaryngol Head Neck Surg. 1999;125(11):1283-1284. doi:

The article by Marple1 that was recently published in the ARCHIVES provided a good review of the disease process of Ludwig angina. This is a particularly important topic, given the relative infrequency of the disease in most communities and the potential gravity of the disease process if it is not treated in a timely manner.

A large number of odontogenic infections are seen in the emergency department of the Kern Medical Center, Bakersfield, Calif, because of the large indigent population we serve and the poor access this population has to dental care. The infections are often severe, with many demonstrating the classic signs and symptoms of Ludwig angina. Many cases also demonstrate trismus as a result of the involvement of the pterygomandibular space in addition to the submandibular and sublingual spaces.

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