• Am J Emerg Med · Jun 2020

    Case Reports

    Sialolithiasis with abscess: An uncommon presentation of a Ludwig's angina mimic.

    • Rachel E Bridwell, Joshua J Oliver, Sean A Griffiths, and Brit Long.
    • Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States. Electronic address: r.e.bridwell@gmail.com.
    • Am J Emerg Med. 2020 Jun 1; 38 (6): 1295.e1-1295.e2.

    AbstractSialolithiasis represents the most common issue of the salivary gland, ranging from asymptomatic to airway compromising. In rapidly progressing, completely obstructive salivary stones, the presentation can mimic emergent oropharyngeal diseases, primarily Ludwig's angina. We present a case of a large and obstructive sialolith with abscess whose initial presentation was concerning for Ludwig's angina with impending airway compromise. While a common complaint, emergency providers should be aware of the nefarious presentation of an everyday complaint.Copyright © 2018. Published by Elsevier Inc.

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