Edema of the larynx - an emergency caused by Angina Ludovici

Introduction. Laryngeal edema is a rare complication of Angina Ludovici. Infections this region are mostly dentogenic origin, less often caused by tonsillitis or other infections in the pharynx. We present case patient with laryngeal and dyspnea lower jaw tooth infection an ipsilateral submandibular abscess. Case outline. The clinical picture our progressed rapidly. From toothache, painful swelling floor oral cavity, submental regions, bilaterally, all way to life-threatening dyspnea. A flexible nasopharyngolaryngoscopy was performed. Swelling base tongue on left side observed, along pronounced aryepiglottic fold same side, which narrowed breathing space. Since space significantly reduced, urgently hospitalized. surgical treatment carried out form external incision drainage abscess collection region, use oxygen support parenteral therapy, accordance recommendations from available medical literature. Constant monitoring saturation levels indicated significant improvement after just few hours medicamentous therapy. Conclusion. goal work point very but serious complication, edema, can lead airway obstruction even first days development infection, endanger life patient.