scholarly journals Clinicopathological study and management of infective swellings of neck in pediatric age group patients

2020 ◽  
Vol 6 (12) ◽  
pp. 2178
Author(s):  
Sudhakar Rao M. S. ◽  
Bipinkumar . ◽  
Vijaya T. N.
Keyword(s):  
Age Group ◽  
Institutional Management ◽  
Space Infection ◽  
Submandibular Space ◽  
Pediatric Age Group ◽  
Paediatric Age ◽  
Deep Neck Space Infections ◽  
Red Flag ◽  
Ludwig’S Angina ◽  
Ludwig's Angina

<p><strong>Background:</strong> Neck swellings are common presenting complaint in paediatric age group patients attending ENT department and are cause of concern for both doctors and parents because they are considered as red flag.</p><p><strong>Methods</strong>: This prospective study was conducted among 102 paediatric patients of both genders attending the OPD of department of ENT, Vijayanagar institute of medical sciences, Bellary, Karnataka, between July 2018 to March 2020.</p><p><strong>Results</strong>: Out of 102 patients in our study, majority of them were reactive lymphadenopathy 47 (46%). Out of 41 deep neck space infections, submandibular space is the most commonly involved space 27 (65.8%). Twenty-nine (70.7%) DNSI’s needed institutional management hence got admitted and among them 20 (48.7%) were submandibular space infection and 7 (17%) were Ludwig’s angina which was statistically significant (p=0.001). Among 27 submandibular space infection, 24 (88.8%) had fever, 19 (70.3%) had local pain, 4 (14.8%) had dysphagia which was statistically significant (p&lt;0.05).</p><p><strong>Conclusions:</strong> In the infective neck swellings of paediatric age group the submandibular space infection needs the zenith of active institutional management among both the genders, and the Ludwig’s angina warrants its treatment on institutional admission which is frequent in this age group.</p>

scholarly journals Fatal Ludwig's Angina: Cases of Lethal Spread of Odontogenic Infection

2018 ◽  
Vol 8 (1) ◽  
pp. 150-169 ◽  
Author(s):  
Catherine R. Miller ◽  
Kendall Von Crowns ◽  
Vickie Willoughby
Keyword(s):  
Pleural Empyema ◽  
Odontogenic Infection ◽  
Odontogenic Infections ◽  
Space Infection ◽  
Dental Abscess ◽  
Submandibular Space ◽  
History Of ◽  
Ludwig’S Angina ◽  
Submandibular Space Infections ◽  
Ludwig's Angina

We report two cases of deaths resulting from complications of odontogenic infections/submandibular space infections. In one case, the decedent had a history of toothache as well as facial and tongue swelling; autopsy revealed inflammation involving the tongue and larynx. In the second case, the decedent had a history of toothache, and at autopsy there was spread of infection to the mediastinum. Ludwig's angina is a form of submandibular space infection, which often is a result of odontogenic infection. The infection can spread into the deep spaces of the neck, producing complications including edema of the tongue and pharynx (causing airway obstruction), descending mediastinitis, pericarditis, necrotizing fasciitis, pleural empyema, and pneumonia. Gross findings at autopsy might reveal a dental abscess or other forms of infection of the head and neck, necrosis of the neck muscles and larynx, and infrequently, infection extending to the chest cavity. Microscopically, there is acute inflammation with necrosis and/or granulation tissue predominantly within the fascia. Without treatment, submandibular space infections can be life threatening and progression to death can be swift. These cases demonstrate the lethal effects of odontogenic infections. Without a clinical history of toothache or dental abscess, one can be alerted to a possible submandibular space infection by identifying isolated necrosis of the neck musculature.

Life-threatening complications of Ludwig’s angina: a series of cases in a developed country

2021 ◽  
Vol 14 (4) ◽  
pp. e240429
Author(s):  
Catarina Mendes Silva ◽  
Joana Paixão ◽  
Pedro Neves Tavares ◽  
João Pedro Baptista
Keyword(s):  
Developed Countries ◽  
Developed Country ◽  
Mortality And Morbidity ◽  
Space Infection ◽  
Threatening Condition ◽  
Life Threatening ◽  
Ludwig’S Angina ◽  
Reduction Of Mortality ◽  
Modern Era ◽  
Ludwig's Angina

Ludwig’s angina is a deep neck space infection defined as a rapidly progressive bilateral cellulitis of the submandibular space. In spite of being an uncommon entity in developed countries and the reduction of mortality and morbidity due to modern era of antibiotics, improved imaging and airway management, it is still an important and potentially life-threatening condition. The authors present 3 cases of Ludwig’s angina that occurred in a developed country, and that required admission in intensive care unit and extensive surgical and medical treatment.

scholarly journals Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

2020 ◽  
Vol 7 (6) ◽  
pp. 1218
Author(s):  
Natasha L. Vageriya ◽  
Shivaji B. Mane ◽  
Taha Daginawala ◽  
Himangi Athawhale ◽  
Hussain Kotawala ◽  
...  
Keyword(s):  
Age Group ◽  
Pediatric Age ◽  
Single Centre ◽  
Renal Functions ◽  
Pediatric Age Group ◽  
Small Series ◽  
Ureteral Replacement ◽  
Paediatric Age ◽  
Published Paper

Background: Objective of this study is to explore various ureteric substitutes in pediatric age group and their outcomes.Methods: Retrospective analysis was done from 2003-2016, of all patients operated in this hospital that had undergone ureteral replacement. Thirteen such patients (5 from initially published paper (1) and 8 new patients) were followed up to find conduit patency, renal function and related complications with their outcomes assessed.Results: Ureteric substitution was done in 8 patients. Age of the patient ranged from 4 months to 8 years. Out of these for 2 patients monti tube was created; one with colon and other jejunum, rest of the 6 patient appendix was used. On follow up one patient had early appendico-ureteral leak requiring re-anastomosis and one patient had partial obstruction at 6 months corrected by dividing mesentry and untwisting appendix. With a mean follow up of 3.8 years all patients have preserved renal functions and drainage present. Also 5 patients of ureteral substitution performed at this institution and published prior were followed up with mean follow up of 10.4 years having no complaints with preserved function and unobstructed drainage.Conclusions: This small series supports that not only appendix and ileum but even colon as well as jejunum should be considered as Monti’s tube for ureteric replacement, when confronting with short ureter in paediatric age group.

scholarly journals Successful Management of Ludwig’s Angina due to Dental Implant Displacement: A Rare Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Lincoln Lara Cardoso ◽  
Giovanni Gasperini ◽  
Leandro Carvalho Cardoso ◽  
Guilherme Romano Scartezini ◽  
Annika Ingrid Maria Soderberg Campos ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Dental Implant ◽  
Clinical Case ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Submandibular Space ◽  
Ludwig’S Angina ◽  
Ludwig's Angina

Dental implant surgery is a common procedure in oral and maxillofacial surgery practices. Extensive training, skill, and experience allow this procedure to be performed with an atraumatic approach, but like any surgical technique, it is subject to accidents and complications. This is an unusual clinical case of an accidental displacement of an implant into the submandibular space that progressed to Ludwig’s angina, and it has not yet been described in the literature. This case report describes a clinical case of dental implant displaced into the submandibular space after healing cap removal. After seven days, it progressed to Ludwig’s angina. The removal was performed through extraoral access in the submandibular area by using hemostatic forceps and radioscopic technique. After implant removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical planning to achieve an appropriate treatment plan, which is essential for a favorable prognosis. Therefore, prevention and management of displaced objects requires proper planning and surgical technique.

scholarly journals Percutaneous Nephrolithotomy (PCNL) for Management of Renal Stone in Pediatric Patient- Single Center Experience

2019 ◽  
Vol 16 (2) ◽  
pp. 76-79
Author(s):  
NI Bhuiyan ◽  
KMH Tawhid ◽  
MF Islam ◽  
Zahid H Bhuiyan ◽  
NIU Ahmed ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Age Group ◽  
Stone Clearance ◽  
Adult Age ◽  
Single Center Experience ◽  
Pediatric Age Group ◽  
Choice Of Procedure ◽  
Paediatric Age ◽  
Dj Stent

Introduction: Percutaneous nephrolithotomy (PCNL) is already an established method of management of renal stone in Bangladesh. Initially the procedure was restricted to adult age group only. Percutaneous Nephrolithotomy is the choice of procedure for management of renal stone in paediatric age group. Objectives: To see the out come of stone clearance by Percutaneous Nephrolithotomy(PCNL)in paediatric age group. Methods: This was a study in single centre since January' 09 to December 201 1 . Total 1 1 cases of renal stone in paediatric age group were managed by PCNL. The age ranges from 4 years to 15years, average 8.47 years. We use pneumatic lithotripters. Nephrostomy tubes and D-J stent were used in 7 cases. In 4 cases only DJ stent were used. Postoperative haematocrit and creatinine was measured routinely. Results: Total stone clearance was achieved in all cases. The major post-operative complication was urosepsis(n-1), managed conservatively. Total hospital stay was 3 to 5 days; average 3.5 days. Stents were removed after 2 weeks. Conclusions: PCNL is a suitable procedure for the management of renal stone in pediatric age group this needs expertise, longer learning curve under supervised training. Journal of Surgical Sciences (2012) Vol. 16 (2) : 76-79

scholarly journals Deep neck space infection in the paediatric age group – a review

2020 ◽  
Vol 95 (3) ◽  
pp. 169-174
Author(s):  
Santosh Kumar Swain ◽  
Ranita Sahana
Keyword(s):  
Age Group ◽  
Space Infection ◽  
Paediatric Age ◽  
Group A ◽  
Deep Neck Space Infection

scholarly journals Microbiological profile of common bacterial isolates from acute tonsillitis in pediatric age group patients

2020 ◽  
Vol 6 (10) ◽  
pp. 1818
Author(s):  
Ashish Sharma ◽  
Naga Babu Pyadala
Keyword(s):  
Histopathological Examination ◽  
Age Group ◽  
Bacterial Isolates ◽  
Acute Tonsillitis ◽  
Follicular Hyperplasia ◽  
Microbiological Profile ◽  
Pediatric Age Group ◽  
Paediatric Age ◽  
Group A ◽  
The Mean

<p class="abstract"><strong>Background:</strong> The paediatric age group are more prone to tonsillitis. The management of tonsillitis mainly based on understanding of microbiological and pathological features. This study aimed to discuss the microbiological profile of acute tonsillitis in children.</p><p class="abstract"><strong>Methods:</strong> Children fewer than 16 years age group was included in this study and the children underwent tonsillectomy or in antibiotics for at least one month were excluded from study. The throat swabs were taken for microbiological diagnosis.</p><p class="abstract"><strong>Results:</strong> A total of 150 children were diagnosed as acute tonsillitis during the period of 1 year from January 2019 to December 2019. The mean age group of children were 9.6 years. There were total 70 males and 80 females. The most common isolates were <em>Streptococcus viridians</em> group, Group A β-hemolytic <em>Streptococci</em>. There were only 3 cases with polymicrobial growth. The histopathological examination reported acute tonsillitis with follicular hyperplasia in all children.</p><p class="abstract"><strong>Conclusions:</strong> The understanding of microbiological profile could help in management of acute tonsillitis. The pathological profile can help us to identify the organisms which are difficult to culture.</p>

scholarly journals Clinical profile and management options in patients of Ludwig’s angina: a 5 year prospective study

2017 ◽  
Vol 3 (4) ◽  
pp. 802
Author(s):  
Smruti Milan Tripathy ◽  
Harikumar B.
Keyword(s):  
Clinical Presentation ◽  
Fatal Outcome ◽  
Age Group ◽  
Management Options ◽  
Incision And Drainage ◽  
Odontogenic Infections ◽  
Ludwig’S Angina ◽  
Almost All ◽  
Microbial Agents ◽  
Ludwig's Angina

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The objective of the study was to study the etiology, clinical presentation, bacteriology and management options in 38 cases of Ludwig’s angina. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">38 patients of Ludwig’s angina admitted in ENT Department of Saveetha Medical College, between March 2012 to April 2017, were included in the study. Various parameters like etiological agents, clinical features and management options were analysed.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Ludwig’s angina was found to be more prevalent between age group of 41 to 70 years with a mean age group of (60.3yrs). Males were found to be more commonly affected (71%) as compared to females (29%). Odontogenic infections still accounted for majority (81%) of causes with uncontrolled type 2 diabetes mellitus emerging as the main associated comorbidity. Patients mainly presented with symptoms like submental and submandibular swelling (100%), dysphagia (67%), odynophagia (55%), and stridor (42%). Almost all the patients required intravenous antibiotics, analgesics and steroids (100%) with (82%) requiring tooth extraction and (74%) requiring incision and drainage. Among the patients who presented with stridor (29%) underwent tracheostomy for airway management. The culture of the discharge obtained after incision and drainage found pseudomonas (71%), staphylococcus aureus (34%) and beta hemolytic streptococcus (42%) as common microbial agents. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Ludwig’s angina is a serious and life threatening condition which can have fatal outcome if not treated aggressively, therefore a thorough understanding of the clinical presentation, common etiological factors, microbial agents and treatment methods is needed to manage these patients.</span></p><p> </p>

scholarly journals Retropharyngeal and longus capitis intramuscular abscesses in a four year old presenting as torticollis

2016 ◽  
Vol 15 (4) ◽  
pp. 645-647
Author(s):  
Boon Chye Gan ◽  
Jamal Sazly ◽  
Haslinda Md Taha
Keyword(s):  
Medical Science ◽  
Retropharyngeal Abscess ◽  
Age Group ◽  
Upper Respiratory Tract ◽  
Stable Patient ◽  
Space Infection ◽  
Pediatric Age Group ◽  
Contrast Enhanced ◽  
History Of ◽  
Upper Respiratory

Retropharyngeal abscess (RPA) is defined as a potentially serious deep neck space infection, commonly seen in children and usually associated with prior upper respiratory tract infection (URTI), history of trauma or foreign body ingestion. We report a rare case of RPA and longus capitis intramuscular abscesses in a 4 year old, who presented with chief complaint of torticollis but with normal oropharyngeal findings. RPA, longus capitis inflammation may be common but abscess in the longus capitis muscle is rare. The aim of this case report is to highlight that subclinical RPA in pediatric age group may present with only acquired torticollis and without sore throat nor high fever. Diagnosis and evaluation of extension was made with contrast enhanced computer tomography (CECT) of the neck. In stable patient with non-extensive abscess and low risk of developing complications, medical management is always the preferred choice.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.645-647

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