양측에 동시에 발생한 악하선염으로부터 유발된 Ludwig’s Angina 1예

We had a patient, 62-year-old female, with Ludwig’s angina, who complained of swelling in the floor of the oral cavity and the tongue, at first visit. She had bilateral submandibular sialadenitis and sialosis of bilateral parotid glands. She complained dry mouth and mild respiratory difficulty besides swelling of bilateral submandibular areas. We used high dose antibiotics. A few days later, her symptoms much improved and she could go home. Based on her past history and laboratory results, this disease originated from bilateral submandibular sialadenitis, and then inflammatory changes processed onto superficial layer of deep cervical fascia. We report this rare case with a review of literature. (J Clinical Otolaryngol 2002;13:247-250)