A 54-year-old man comes to the emergency department after 2 days of fever, chills, dysphagia, and drooling

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A 54-year-old man comes to the emergency department after 2 days of fever, chills, dysphagia, and drooling. The patient has been unable to eat

or drink due to pain in his mouth and neck. He has a history of heavy alcohol use but does not use recreational drugs. Temperature is 38.8 C

(101.8 F), blood pressure is 110/70 mm Hg, pulse is 108/min, and respirations are 22/min. The patient appears toxic with drooling and a muffled

voice. The tongue is displaced posteriorly and superiorly due to a swollen area on the floor of the mouth. The bilateral submandibular area is

tender, indurated, and nonfluctuant with palpable crepitus. Which of the following is the most likely source of infection in this patient?

  • QA Bloodstream
  • 0 B. Epiglottis
  • 0 C . Lymph nodes
  • 0 D. Palatine tonsils
  • 0 E. Parotid glands
  • 0 F Teeth roots

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