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

2020; Elsevier BV; Volume: 38; Issue: 6 Linguagem: Inglês

10.1016/j.ajem.2020.01.010

1532-8171

Rachel E. Bridwell, Joshua J. Oliver, Sean A. Griffiths, Brit Long,

IgG4-Related and Inflammatory Diseases

Sialolithiasis 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.