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Anales de Otorrinolaringología Mexicana

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2008, Number 3

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Otorrinolaringología 2008; 53 (3)

Ludwing’s angina. A report of a case

Jiménez FS, Murillo GM, Britto AMI
Full text How to cite this article

Language: Spanish
References: 10
Page: 129-133
PDF size: 202.46 Kb.


Key words:

Ludwig’s angina, soft tissues.

Text Extraction

Ludwig’s angina is an infection of the neck and tongue floor soft tissues which compromises the airway, and implies a silent and fast progression of the cellulitis. Mainly described in children, it has shown a reduction of its incidence in the last decades because of the use of new antibiotics. For this reason doctors are not familiar with this pathology, causing diagnosis delay and ignorance of potentially fatal complications of this entity. We describe a case seen in the emergency room, emphasizing the new additional treatment tendencies to antibiotic therapy to reduce the risk of fatal complications and airway compromise.


REFERENCES

  1. Haartmann R. Ludwig’s angina in Children. Am Acad Fam Phys 1999;60(1):109-12.

  2. Burke J. Angina Ludovici: a translation, together with a biology of Wilhelm Friedrich von Ludwig. Bull Hist Med 1939;7:1115-26.

  3. Min-Po H, Kuang-Chau T, Szu-Lin Y, Cheng Lin L. A rare cause of Ludwig’s angina by Morganella morganii. Case Report. J Infect 2006;53:191-4.

  4. Lee JK, Kim HD, Lim SC. Predisposing factors of complicated deep neck infections: An analysis of 158 cases. Yonsey Med J 2007;48(1):52-62.

  5. Reynolds SC, Chow AW. Life-threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin North Am 2007;21:557-76.

  6. Saifeldeen K, Evans R. Ludwig’s angina. Emerg Med J 2004;21:242-3.

  7. Nubiato A, Takahiro C, Santana A, Montenegro MC, Pereira R, Altemani J. Clinical versus computed tomography evaluation in the diagnosis and management of deep neck infection. Sao Paulo Med J 2004;122(6):259-63.

  8. Barton ED, Bair AE. Selected topics: Difficult airways. Ludwig’s angina. J Emerg Med 2007;34(2):163-9.

  9. Brook I. Microbiology and management of peritonsillar, retropharyngeal, and parapharyngeal abscesses. J Oral Maxillofac Surg 2004;62:1545-50.

  10. Gilbert DN, Sandford JP. The Sanford guide to antimicrobial therapy. 36th ed. Sperryville: Antimicrobial Therapy Inc., 2006;pp:33-36.




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Otorrinolaringología. 2008;53