Open AccessDrooling of Saliva with Displaced Tongue in An Infant
Author(s) -
Paramjit Singh Jamir Singh,
Shifa Zulkifli,
Muhammad Hazim Abdul Ghafar,
Azliana Aziz
Publication year - 2022
Publication title -
malaysian journal of paediatrics and child health
Language(s) - English
Resource type - Journals
ISSN - 1511-4511
DOI - 10.51407/mjpch.v28i1.158
Subject(s) - medicine , drooling , etiology , cellulitis , saliva , presentation (obstetrics) , tongue , airway , mortality rate , pediatrics , surgery , pathology
Ludwig’s angina (LA) is a potentially life-threatening disease described as cellulitis of the submandibular space. There are many causes of LA with the odontogenic cause being the commonest among children and adults. In the pre-antibiotics era, LA is known to be fatal with mortality rates surpassing 50%. However, with antibiotics and surgical intervention, the mortality rate has significantly reduced. We report a case of an 11-month-old infant who presented with high-grade fever, right submandibular region swelling, drooling of saliva and limited neck movement. Prompt diagnosis and airway management was required and the child underwent a successful recovery. The presentation, aetiology, management and complications are discussed.