A 45-year-old male patient presents to the emergency department with a 3-day history of increasing neck swelling, fever, and pain. The patient has difficulty swallowing and muffled voice. Vital signs on admission are BP 145/90, HR 102, Temp 38.6°C, RR 22. Based on these symptoms, which condition is most likely?
The patient's symptoms of neck swelling, fever, difficulty swallowing, and a muffled voice, combined with the acute presentation, are characteristic of Ludwig's angina. This condition is a type of cellulitis that involves the submandibular space and is a serious infection that can quickly progress to airway compromise, necessitating prompt diagnosis and management. The other options, while related to infections, do not typically present with the combination of symptoms and the acute severity seen in Ludwig's angina.
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BCEN CEN
Maxillofacial and Ocular Emergencies
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