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Cureus Aug 2017Ludwig's angina is a diffuse cellulitis in the submandibular, sublingual, and submental spaces, characterized by its propensity to spread rapidly to the surrounding...
Ludwig's angina is a diffuse cellulitis in the submandibular, sublingual, and submental spaces, characterized by its propensity to spread rapidly to the surrounding tissues. Early recognition and treatment for Ludwig's angina are of paramount importance due to the myriad of complications that can occur in association with Ludwig's angina. Known complications of Ludwig's angina include carotid arterial rupture or sheath abscess, thrombophlebitis of the internal jugular vein, mediastinitis, empyema, pericardial effusion, osteomyelitis of the mandible, subphrenic abscess, aspiration pneumonia, and pleural effusion. By reporting a case of Ludwig's angina, we hope to raise the awareness in our medical community for this rare clinical entity. This case describes a 54-year-old woman with Ludwig's angina that evolved from a chronic odontogenic infection. She presented with perioral swelling with the involvement of bilateral submandibular and sublingual areas, accompanied by excruciating pain, chills, fever, and vomiting. She was treated with clindamycin and cefoxitin for infection and vigorously hydrated. This case is exemplary for the successful management of this potentially lethal clinical condition. Our early recognition and aggressive treatment helped to prevent complications from Ludwig's angina.
PubMed: 29062620
DOI: 10.7759/cureus.1588 -
Thorax Sep 1956
Topics: Abdomen; Abscess; Subphrenic Abscess
PubMed: 13371571
DOI: 10.1136/thx.11.3.211 -
The Hospital Mar 1898
PubMed: 29833158
DOI: No ID Found -
Postgraduate Medical Journal Aug 19741. Gastro-bronchial fistula is a rare condition occurring most commonly as a complication of a subphrenic abscess. 2. Other causes include trauma and necrosis within an...
1. Gastro-bronchial fistula is a rare condition occurring most commonly as a complication of a subphrenic abscess. 2. Other causes include trauma and necrosis within an infiltrating neoplasm. 3. The treatment of those fistulae which are secondary to a subphrenic abscess should be by drainage of the abscess, jejunal tube feeding and continuous gastric aspiration.
Topics: Aged; Bronchial Fistula; Gastric Fistula; Humans; Male; Pancreatic Neoplasms; Radiography
PubMed: 4464513
DOI: 10.1136/pgmj.50.586.504 -
Annals of Surgery Aug 1963
Topics: Subphrenic Abscess; Surgical Procedures, Operative
PubMed: 14047547
DOI: 10.1097/00000658-196308000-00013 -
California Medicine Mar 1971
PubMed: 18730489
DOI: No ID Found -
Annals of Surgery May 1931
PubMed: 17866564
DOI: 10.1097/00000658-193105000-00014 -
California and Western Medicine Apr 1934
PubMed: 18742823
DOI: No ID Found -
Canadian Medical Association Journal Sep 1942
PubMed: 20322542
DOI: No ID Found