A previously healthy 33-year-old man, with a history of type 1 diabetes mellitus, underwent left lower molar extraction. Two days later, he presented to the emergency department with swelling in the left submandibular area and was subsequently treated with meperidine, codeine, and penicillin G. Two days later, after an unsuccessful resolution, he returned with bilateral submandibular swelling and difficulty swallowing and breathing.
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— Nicholas Costain, BSc, Thomas J. Marrie, MD
This article originally appeared in the February 2011 issue of The American Journal of Medicine.