Case Report on Ludwig Angina in a Case of Diabetes Mellitus

Introduction: Ludwig's angina (latin: Angina ludovici) is a type of severe cellulitis involving the floor of the mouth and is often caused by bacterial sources. Early in the infection, floor of the mouth raises due to swelling, leading to difficulty swallowing saliva. As a result, patients may present with difficulty speaking and drooling. As the condition worsens, the airway may be compromised and hardening of the spaces on both sides of the tongue may develop. Overall, this condition has a rapid onset over a few hours. Case presentation: A 62-year -old-male admitted in Tertiary care hospital Wardha,at surgery ICU. With the complaints painful swelling and pus discharge over the right side of the face for 8 days, difficulty in mastication from 8 days, difficulty in a speech during 2 days. No history of cold, cough, fever, syncope, loss of consciousness. No history of trauma. Previous treatment, no prior hospitalization. There was associated illness were present like Diabetes mellitus.There was no associated illness were present like tuberculosis, and thyroid disorder. significant past history present like diabetes mallitus. Physical examination and systemic examination was done. a thoracic CT-scan to determine the extent of the lesions, microbiological analysis, complete blood check-up, and radiographic test. conscious and oriented, abdominal examination: soft and nontender. No any abnormality detected in musculoskeletal system. Therapeutic management: All the routine investigation done. Hemoglobin 10.8gm% was on average side. a thoracic CT-scan to determine the extent of the lesions, microbiological analysis, complete blood check-up, and radiographic test. surgery opinion was taken SOS in emergency (Strangulation, bleeding, obstruction and volvulus).Surgery opinion was taken and patient was advised for conservative management. Conclusion: due to conservative management and quality nursing care patient condition was stable and had no active complaints at present hence patient is being discharged.