Cases reported "Ludwig's Angina"

Filter by keywords:



Filtering documents. Please wait...

1/12. ludwig's angina in children.

    ludwig's angina is a potentially life-threatening, rapidly expanding, diffuse inflammation of the submandibular and sublingual spaces that occurs most often in young adults with dental infections. However, this disorder can develop in children, in whom it can cause serious airway compromise. Symptoms include severe neck pain and swelling, fever, malaise and dysphagia. Stridor suggests an impending airway crisis. Causative bacteria include many gram-negative and anaerobic organisms, streptococci and staphylococci. Initial treatment consists of high doses of penicillin g given intravenously, sometimes in combination with other drugs. patients usually recover without complications.
- - - - - - - - - -
ranking = 1
keywords = submandibular
(Clic here for more details about this article)

2/12. airway management in ludwig's angina.

    A 37-year-old 91 kg man presented with features of ludwig's angina. Anaesthesia for incision and drainage of his submandibular abscess was undertaken by two specialist anaesthetists with an otorhinolaryngological surgeon prepared for immediate tracheostomy. After preoxygenation, gas induction with sevoflurane in oxygen was followed by a gush of pus into the oral cavity and laryngospam causing acute upper airway obstruction. This resolved with 25 mg of suxamethonium and an endotracheal tube was passed into the trachea with difficulty. Options for management of the difficult airway in ludwig's angina are discussed.
- - - - - - - - - -
ranking = 1
keywords = submandibular
(Clic here for more details about this article)

3/12. 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 = 1
keywords = submandibular
(Clic here for more details about this article)

4/12. 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 = 6
keywords = submandibular
(Clic here for more details about this article)

5/12. ludwig's angina following herpetic gingivostomatitis in a toddler with tetralogy of Fallot.

    ludwig's angina is a rare but potentially lethal cellulitis of the submandibular space that occurs most often in young adults with predisposing odontogenic infection. In contrast to adult cases, most children with ludwig's angina have no initiating factor. We report a case of ludwig's angina in a 15-month-old boy which developed after an episode of herpetic gingivostomatitis. Under close monitoring of respiratory status, the condition was successfully managed with antibiotic treatment. This case illustrates that ludwig's angina can develop in association with herpetic gingivostomatitis, which is a common and usually self-limited disease in pediatric patients. Prompt recognition and aggressive management of this rare and severe secondary bacterial infection are the keys to avoiding unnecessary morbidity and mortality.
- - - - - - - - - -
ranking = 1
keywords = submandibular
(Clic here for more details about this article)

6/12. ludwig's angina following dental treatment of a five-year-old male patient: report of a case.

    A five-year-old male child presented to the dental clinic with dental disease. This patient was otherwise healthy, with evidence of odontogenic infection (pulpal abscess) on tooth "T". Extraction of the tooth followed. Five days postoperative, the child was diagnosed as suffering from ludwig's angina. This case of ludwig's angina was found to be odontogenic in origin, but not originating from extraction of the offending tooth. ludwig's angina is an aggressive infectious process of the submandibular, sublingual, and submental fascial spaces. It remains a potentially fatal cellulitis with a mortality rate of approximately 8%, in spite of appropriate antibiotic therapy. Early recognition and treatment of ludwig's angina is extremely important due to its invasive nature.
- - - - - - - - - -
ranking = 1
keywords = submandibular
(Clic here for more details about this article)

7/12. ludwig's angina: an uncommon cause of chest pain.

    A 71-year-old male with coronary artery disease, hypertension, diabetes mellitus, tobacco and opioid dependence came to the emergency room complaining of one episode of retrosternal chest pain oppressive in nature of one day of evolution. He had acute respiratory distress and required mechanical ventilation. The initial impression was myocardial ischemia, but electrocardiography and cardiac enzymes ruled it out. During the following hours, neck and tongue edema developed. He was started on broad-spectrum antibiotics empirically. Neck computed tomography scan revealed a left parapharyngeal and submandibular abscess. The abscess was drained. The source of infection was found on the second molar of the left lower jaw. The patient improved and was successfully weaned from mechanical ventilation. Despite advances in therapy, ludwig's angina remains a potentially lethal infection in which early recognition plays a crucial role.
- - - - - - - - - -
ranking = 1
keywords = submandibular
(Clic here for more details about this article)

8/12. Submandibular sialadenitis presenting as ludwig's angina.

    Previous descriptions of ludwig's angina have focused on the odontogenic etiology and the absence of gland involvement. Incision and drainage of the involved fascial spaces without excision of the submandibular gland has traditionally been the recommended surgical treatment. Two case reports of edentulous patients illustrate acute submandibular sialadenitis spreading onto the fascial spaces described in association with ludwig's angina. Surgical procedures included incision and drainage, along with excision of the submandibular gland. In select cases clinically resembling ludwig's angina where submandibular sialadenitis is the etiology, we advocate that gland excision be included with a definitive incision and drainage procedure.
- - - - - - - - - -
ranking = 4
keywords = submandibular
(Clic here for more details about this article)

9/12. Submandibular duct stenosis as a complication of ludwig's angina.

    A case of submandibular duct stenosis subsequent to ludwig's angina is presented. It illustrates the importance of outpatient follow-up after apparent infections.
- - - - - - - - - -
ranking = 1
keywords = submandibular
(Clic here for more details about this article)

10/12. Group A streptococcal pharyngitis and bacteremia associated with a ludwig's angina-like syndrome.

    ludwig's angina (LA) is an infection of the submandibular and sublingual spaces usually initiated by abscesses of the inferior molars due to mixed oral flora. pharyngitis due to group A beta-hemolytic streptococci (GABHS) rarely results in bacteremia. A patient presented with the classical findings of LA, and had no odontogenic focus but had GABHS pharyngitis and bacteremia. Attempts to isolate other microbiological organisms from the submandibular and sublingual spaces were unsuccessful. The patient required emergent tracheostomy and was treated with penicillin g for 4 wk with complete resolution of his clinical illness. The case demonstrates a previously unreported association between GABHS pharyngitis and the development of LA.
- - - - - - - - - -
ranking = 2
keywords = submandibular
(Clic here for more details about this article)
| Next ->


Leave a message about 'Ludwig's Angina'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.