Abstract
Background: Ludwig's Angina is a debilitating infection characterized as a cellulitis of fast evolution and dispersion between the facial spaces bilaterally, being able to progress to the cervical and mediastinal spaces. Of low survival, especially when it is already in the mediastinum, its intervention must be realized as fast as possible. Drainage and drug protocols are widely used, with good results. Due to the involvement of submandibular, sublingual and submental spaces, and may occur lingual elevation and retroposition, generating dysphagia, dyslalia and dyspnea; evolving to respiratory depression and death. It is necessary to perform tracheostomy in more severe conditions. The present case report approaches the occurrence of Ludwig angina in an adult patient with five postoperative days of third molar extraction, having a slow and difficult drug response and attempted drainage.
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