1/7. ludwig's angina in the pediatric population: report of a case and review of the literature.ludwig's angina is a rapidly progressing cellulitis involving the submandibular neck space. It is characterized by brawny induration of the submental region and floor of mouth, bearing the potential for rapid airway obstruction. airway management, antibiotics, and judicious surgical intervention are the mainstays of successful therapy. We present a case of ludwig's angina in a 5-year-old child and offer a meta-analysis of pediatric cases of ludwig's angina described in the literature over the past 30 years. The presentation, etiology, management, and potential complications of this disorder in the pediatric population are discussed.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |
2/7. Bilateral submandibular gland infection presenting as ludwig's angina: first report of a case.We diagnosed and treated a case of ludwig's angina in a 45-year-old man who had edema of the floor of mouth and the tongue along with bilateral submandibular sialadenitis and sialolithiasis. We secured the patient's airway via nasal fiberoptic intubation in the surgical intensive care unit and administered intravenous antibiotics. The edema subsided, and the patient was extubated on the third postoperative day and discharged shortly thereafter. To our knowledge, this is the first reported case of a patient with bilateral submandibular sialadenitis and sialolithiasis presenting as ludwig's angina. Despite the decreasing incidence of this disease, ludwig's angina remains an important disease process because a failure to control the airway can have disastrous consequences. Proper diagnosis, airway control, antibiotic therapy, and occasionally surgical management are essential to ensure the safety of the patient.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |
3/7. ludwig's angina: a place for steroid therapy in its management?ludwig's angina is an uncommon but potentially fatal condition which presents as a hard swelling of the floor of the mouth. It spreads rapidly as a gangrenous process that may cause death through local airway obstruction. ludwig's angina carried a 54% mortality rate in the preantibiotic era which has now been reduced to approximately 4%. diagnosis is based on history and clinical observation. Currently described treatment involves protecting the airway and managing the infection with antibiotics and surgical drainage when indicated.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |
4/7. A rare cause of ludwig's angina by morganella morganii.ludwig's angina is a rapidly spreading and potentially lethal infection involving the floor of the mouth and neck. We present a rare case of ludwig's angina caused by an unusual microorganism, morganella morganii, and the group D alpha-hemolytic streptococcus. To our knowledge, this is the first case of ludwig's angina and deep neck infection caused by morganella morganii. Adequate airway maintenance, appropriate use of antibiotics and surgical drainage resulted in survival of the patient without complications.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |
5/7. dermatomyositis presenting with ludwig's angina.An interesting case of a patient with dermatomyositis and a superimposed ludwig's angina is presented. dermatomyositis is a disease that is poorly understood and has many presenting characteristics similar to facial cellulitis and infection. In the present case the rapid progression of the clinical course necessitated prompt intervention. It was virtually impossible to differentiate between signs of dermatomyositis and an infectious process. No clear cause of the facial swelling was determined, but it was presumably from an ulcerative lesion in the floor of the mouth.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |
6/7. ludwig's angina resulting from the infection of an oral malignancy.A case of ludwig's angina is reported in a 60-year-old woman who was discovered to have squamous-cell carcinoma of the tongue and floor of the mouth during intubation for airway management. This report emphasizes the need to consider infection of oral malignancies of the tongue and floor of the mouth in the etiology of ludwig's angina when an odontogenous origin cannot be demonstrated. It also illustrates the value of bronchoscopy-directed nasotracheal intubation for diagnosis and airway management in such cases.- - - - - - - - - - ranking = 2keywords = mouth (Clic here for more details about this article) |
7/7. A case of ludwig's angina following tooth extraction.ludwig's angina developed in an adult Chinese male following a mandibular third molar extraction. Brawny and tender swellings of the floor of the mouth and neck, with the elevation of the tongue, were classically present. The management of this case was based on the current emphasis of early broad-spectrum and antibiotic therapy with the maintenance of an adequate airway. The role of dental infection in this condition was highlighted.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |