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Review Case Reports
Submandibular Sialolithiasis Mimicking Ludwig's Angina: A Case Report and Brief Clinical Review.
- Chien-Tai Huang and Wan-Ching Lien.
- J Emerg Nurs. 2024 Jul 1; 50 (4): 491495491-495.
AbstractThe "double tongue sign" is a characteristic finding in patients with Ludwig's angina, a potentially life-threatening infection due to airway compromise. Management primarily focuses on early airway protection and antibiotic administration. Submandibular sialolithiasis, on the other hand, could present with the double tongue sign without symptoms suggestive of airway involvement. Unlike Ludwig's angina, conservative treatment is usually the first-line approach for sialolithiasis. The importance of rapidly recognizing and distinguishing between the 2 conditions is emphasized through effective triage and risk stratification, particularly in rural areas where physicians are not readily available.Copyright © 2024 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
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