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Angioneurotic oedema, lingual carcinoma and sublingual haematoma formation following anticoagulation should be ruled out as possible diagnoses.[18]There are a few methods that can be used for determining the microbiology of Ludwig's angina. One of the traditionally used methods is taking culture samples although it has some limitations.[19][20] By taking pus samples from a patient with Ludwig's angina, the microbiology were found to be commonly polymicrobial and anaerobic.[21][5] Some of the commonly found microbes are Viridans Streptococci, Staphylococci, Peptostreptococci, Prevotella, Porphyromonas and Fusobacterium.[21][5]For each patient, the treatment plan should be done with consideration of each of the individual patient's differing factors. They are namely the stage of the disease and co morbid conditions at the time of presentation, physician experience, available resources, and personnel are critical factors in formulation of a treatment plan.[22] There are four principles that guide the treatment of Ludwig's Angina:[23] Sufficient airway management, early and aggressive antibiotic therapy, incision and drainage for any who fail medical management or form localized abscesses, and adequate nutrition and hydration support.

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