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

Bhavesh V Tailor; Haran Devakumar; Tharsika Myuran; Dimitrios Ioannidis

doi:10.1002/ccr3.6325

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

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

Authors

Bhavesh V Tailor¹, Haran Devakumar¹, Tharsika Myuran¹, Dimitrios Ioannidis¹

Affiliation

¹ Department of Otolaryngology, Colchester General Hospital East Suffolk and North Essex NHS Foundation Trust Colchester UK.

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.

Publication types

Case Reports