Ludwig's angina: Pediatric case report and literature review

Ludwig’s angina is a rapidly spreading infection of the floor of the mouth and neck. A rare and dreaded complication of Ludwig’s angina is extension of the infection to the mediastinum. We describe a unique case of Ludwig’s angina presenting with descending necrotizing mediastinitis, with the subsequent development of Candida albicans and Candida krusei mediastinitis.

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An Unusual Presentation of Ludwig’s Angina Complicated by Cervical Necrotizing Fasciitis: A Case Report and Review of the Literature

Case Reports in Otolaryngology ◽

10.1155/2012/931350 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Kristelle Chueng ◽

David J. Clinkard ◽

Danny Enepekides ◽

Yousef Peerbaye ◽

Vincent Y. W. Lin

Keyword(s):

Elderly Patient ◽

Case Report ◽

Literature Review ◽

Necrotizing Fasciitis ◽

Disease Process ◽

Unusual Presentation ◽

Airway Compromise ◽

Review Of The Literature ◽

Ludwig’S Angina ◽

Ludwig's Angina

Ludwig’s angina can seldom be complicated by necrotizing fasciitis. Due to the rapidly progressing nature of this infection and the potential for airway compromise and death, it is important to be aware of different ways in which this disease process can present in order to recognize and treat it emergently. We report here an unusual presentation of a case of Ludwig’s angina complicated by necrotizing fasciitis in an elderly patient. The clinical features, diagnosis, and treatment are discussed in detail as well as a brief literature review on craniocervical necrotizing fasciitis.

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Fatal airway obstruction due to Ludwig's angina from severe odontogenic infection during antipsychotic medication: A case report and a literature review

Journal of Forensic Sciences ◽

10.1111/1556-4029.14740 ◽

2021 ◽

Author(s):

Rutsuko Yamaguchi ◽

Koichi Sakurada ◽

Hisako Saitoh ◽

Maiko Yoshida ◽

Yohsuke Makino ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Airway Obstruction ◽

Antipsychotic Medication ◽

Odontogenic Infection ◽

Ludwig’S Angina ◽

Ludwig's Angina

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Angioneurotic edema mimicking Ludwig's angina: A case report

Journal of Oral and Maxillofacial Surgery ◽

10.1016/s0278-2391(10)80525-7 ◽

1993 ◽

Vol 51 (5) ◽

pp. 601-603 ◽

Cited By ~ 3

Author(s):

Ibrahim M. Zeitoun ◽

Parmanand J. Dhanrajani

Keyword(s):

Case Report ◽

Angioneurotic Edema ◽

Ludwig’S Angina ◽

Ludwig's Angina

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Emergency management of Ludwig’s angina: A case report

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v1i1.93 ◽

2016 ◽

Vol 1 (1) ◽

pp. 154

Author(s):

Nur Huda Alimin ◽

Endang Syamsuddin

Keyword(s):

Case Report ◽

Emergency Management ◽

Ludwig’S Angina ◽

Ludwig's Angina

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Case Report: Poor oral hygiene leading to an emergency condition: A case report of Ludwig’s angina

F1000Research ◽

10.12688/f1000research.74692.1 ◽

2021 ◽

Vol 10 ◽

pp. 1219

Author(s):

Prashant Pant ◽

Oshan Shrestha ◽

Pawan Budhathoki ◽

Nebula Devkota ◽

Prabin Kumar Giri ◽

...

Keyword(s):

Case Report ◽

Oral Hygiene ◽

Common Source ◽

Poor Oral Hygiene ◽

Presenting Symptoms ◽

Dental Procedures ◽

Life Threatening ◽

History Of ◽

Ludwig’S Angina ◽

Ludwig's Angina

Ludwig’s angina (LA) is a rapidly spreading and potentially life-threatening infection having an odontogenic infection as the most common source. It involves the floor of the mouth and neck. Modernization in medical care has made this entity rare and of low mortality at the present but it is still feared as a lethal entity due to rapidly progressive airway obstruction that follows. Here we report a case of a 15-year-old male who suffered from LA. Presenting symptoms and findings of the examination helped in the clinical diagnosis. Immediate intubation, use of broad-spectrum antibiotics, and treatment of complications aided the patient’s recovery. LA should be considered for differential diagnosis in the case of neck swelling especially in those having a history of poor oral hygiene and recent dental procedures. Management of LA and its complications should always involve doctors from multiple disciplines.

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