When An Infected Tooth Becomes Much More

It's called Ludwig's angina, and it can kill.

The Crux
By Claire Panosian Dunavan, UCLA School of Medicine
May 9, 2018 6:10 PMApr 26, 2020 7:35 PM
(Credit: thodonal88/Shutterstock)
(Credit: thodonal88/Shutterstock)

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Earlier this year, a surgical resident was paged to the emergency room to evaluate a man with an angry mass bulging beneath his chin.

Dr. Habib Zalzal half race-walked, half ran to find a panting 40-year-old in obvious distress. In addition to an infection, the man had a choked, high-pitched voice, an elevated tongue, a swollen neck, and a drool. “Please help me,” read the panicked look on his face.

In his patient’s eyes, Dr. Zalzal also saw such hopelessness and fatigue he feared the man might soon stop breathing and die.

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