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Case Reports
. 2022 Sep 12;10(9):e6325.
doi: 10.1002/ccr3.6325. eCollection 2022 Sep.

Parapharyngeal and floor-of-mouth abscess secondary to tonsillar phlegmon: A rare and unusual cause of Ludwig's angina

Bhavesh V Tailor  1 , Haran Devakumar  1 , Tharsika Myuran  1 , Dimitrios Ioannidis  1
Affiliations
Case Reports

Parapharyngeal and floor-of-mouth abscess secondary to tonsillar phlegmon: A rare and unusual cause of Ludwig's angina

Bhavesh V Tailor et al. Clin Case Rep. .

Abstract

We present an unusual case of Ludwig's angina secondary to a left tonsillar phlegmon in a previously fit and well 50-year-old woman. This tonsillar phlegmon spread along the peritonsillar/parapharyngeal plane to cause a diffuse cellulitis and collection in the submental, sublingual, and submandibular spaces despite empirical intravenous antibiotic therapy.

Keywords: Ludwig's angina; abscess; parapharyngeal space; peritonsillar abscess; tonsillitis.

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Conflict of interest statement

The authors declare that they have no competing or conflict of interests.

Figures

FIGURE 1
FIGURE 1
Contrast‐enhanced computed tomography (CT) imaging demonstrating a soft tissue abnormality within the left parapharyngeal space adjacent to the oropharynx but without convincing evidence of enhancement, suggestive of an inflammatory phlegmon.
FIGURE 2
FIGURE 2
Magnetic resonance imaging (MRI) demonstrating an inflammatory mass lesion and multiloculated collection centered on the left palatine tonsil, which extends to the left lateral and anterior floor‐of‐mouth.
See this image and copyright information in PMC

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