Group A streptococcal pharyngitis and bacteremia associated with a Ludwig's Angina-like syndrome

This is a retrospective study of 47 cases suffering from Ludwig’s angina who received treatment at Manipal Teaching Hospital, Pokhara, between March 2005 and December 2010. Objective of this study was to compare the treatment efficacy of two intravenous antibiotic regimens for the treatment of Ludwig’s angina.27 cases who received crystalline Penicillin G +Metronidazole were placed in group A, while 20 patients who received Ceftriaxone + Clindamycin were placed in group B. The efficacy results based on the disease progressing to abscess formation were analyzed. Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 1-5 DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6689

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Streptococcal Submandibular Cellulitis in Young Infants

PEDIATRICS ◽

10.1542/peds.67.3.378 ◽

1981 ◽

Vol 67 (3) ◽

pp. 378-380 ◽

Cited By ~ 1

Author(s):

Pisespong Patamasucon ◽

Jane D. Siegel ◽

George H. McCracken

Keyword(s):

Clinical Presentation ◽

Streptococcal Infection ◽

Group A Streptococcus ◽

Hemolytic Streptococcus ◽

Young Infants ◽

Group A ◽

Ludwig’S Angina ◽

Group B ◽

Ludwig's Angina

Six infants with streptococcal submandibular cellulitis and bacteremia were managed in our institution during a seven-month period. Five uncomplicated cases were caused by group B β-hemolytic Streptococcus, and one rapidly progressive case of Ludwig's angina was caused by group A Streptococcus. Recognition of this characteristic clinical presentation of group B streptococcal infection may be beneficial in the management of such patients.

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MASKED WARFARIN OVERDOSE PRESENTING AS LUDWIG’S ANGINA

10.26226/morressier.578e3b4cd462b80292381c26 ◽

2016 ◽

Author(s):

Grigore Mihalache

Keyword(s):

Ludwig’S Angina ◽

Ludwig's Angina

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Clinical and therapeutic considerations in Ludwig’s angina

ORL ro ◽

10.26416/orl.36.3.2017.1121 ◽

2017 ◽

Vol 3 (36) ◽

pp. 38

Author(s):

Andrei Ştefan Luca ◽

Adriana Florescu

Keyword(s):

Ludwig’S Angina ◽

Therapeutic Considerations ◽

Ludwig's Angina

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Effect of Surgical Versus Pharmacological Decompression of Ludwig’s Angina on Airway Compromise among Nigerian Patients

Journal of Dentistry and Oral Sciences ◽

10.37191/mapsci-2582-3736-2(1)-024 ◽

2020 ◽

Author(s):

Ekaniyere EB

Keyword(s):

Length Of Hospital Stay ◽

Surgical Decompression ◽

Airway Compromise ◽

Inclusion Criteria ◽

Hospital Stays ◽

Ludwig’S Angina ◽

The Mean ◽

The University ◽

Ludwig's Angina ◽

Gender Type

Background: Even though the decompression of the cellulitis phase of Ludwig’s angina (LA) by surgical or pharmacological approach is well documented, it is unclear which approach is more effective. Objective: We aim to compare the outcome of treatment between surgical versus pharmacological decompression in patients with LA. Subjects and Methods: A retrospective cohort study was designed. Data were collected from the case notes of patients that met the inclusion criteria from 2004 to 2018 at the University of Benin Teaching Hospital, Nigeria.The data were age, gender, type of decompression approach, length of hospital stay (LOS) and airway compromise. Result: A total of 62 patients comprising 37(59.7%) surgical decompression group and 25(40.3%) pharmacological decompression group were studied. Thirty-six (58.1%) males and 26 (41.9%) females were studied. Their mean age and standard deviation were 40.6 years and 11.9 years respectively. The mean length of hospital stays between the pharmacological and surgical decompression groups were 8.05 days and 13.8 days respectively. The incidence of airway compromise in the surgical decompression group was 19.9% lower than that of the pharmacological decompression group (P=0.47), which was not significant. The type of decompression approach also failed to influence the incidence of airway compromise (P = 0.41). Conclusion: The use of surgical versus pharmacological decompression does not significantly alter the incidence of airway compromise in the management of LA. The Patients that had surgical decompression had a shorter stay in the hospital as compared to those who had pharmacological decompression. This was not statistically significant.

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Antibiotic Susceptibility Evaluation of Bacterial Agents Causing Infection in Children with Acute Tonsillopharyngitis

Infectious Disorders - Drug Targets ◽

10.2174/1871526520666201116102441 ◽

2020 ◽

Vol 20 ◽

Author(s):

Hamidreza Sherkatolabbasieh ◽

Majid Firouzi ◽

Shiva Shafizadeh ◽

Iman Amiri

Keyword(s):

Sore Throat ◽

Predictive Value ◽

Positive Culture ◽

Clinical Score ◽

Streptococcal Pharyngitis ◽

Diffusion Method ◽

Disk Diffusion Method ◽

Cross Sectional ◽

Clinical Sensitivity ◽

Group A

Background: The aim of this study is to evaluate the prevalence of group A beta-hemolytic pharyngitis by assessing the outcome of the culture and the resistance and sensitivity of group A beta hemolytic streptococcus to antibiotics. Methods: This cross-sectional study was conducted on 170 patients, aged 3-15 years, referred to the clinic with complaints of sore throat. Patients’ history was collected and physical examination was performed and were score based on clinical findings. Patients with other underlying pathologies and those taking antibiotics prior to the study were excluded from our study. Antimicrobial susceptibility test was performed by disk diffusion method against cephalexin, cefazolin, erythromycin and amoxicillin. Results: A total of 170 patients were reported with sore throat. Patients with positive culture results were 60% male and 40% female. Amoxicillin resistance was the greatest (5%) in the culture. All isolated bacteria were sensitive to amoxicillin, cephalexin, cefazolin and erythromycin. Patients with McIssac score ≥ 6 showed clinical sensitivity 75% specificity 61% negative predictive value 94.8% and positive predictive value 20.3% for Group A beta-hemolytic streptococcal pharyngitis. Conclusion: The results showed the higher the clinical score, the greater the chance of positive throat culture.

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