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Colegio de Medicos y Cirujanos República de Costa Rica

2010, Number 592

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Rev Med Cos Cen 2010; 67 (592)

Angina de Ludwig

Segura CP

Language: Spanish
References: 20
Page: 195-198
PDF size: 269.72 Kb.


ABSTRACT

Ludwig’s angina, originally described by Wilhelm Frederick von Ludwig in 1836, is a serious, potentially life-threatening infection of the neck and the floor of the mouth It is a rapidly expanding cellulitis of the floor of the mouth and is characterized by a brawny induration of the floor and suprahyoid region (bilaterally), with an elevation of the tongue potentially obstructing the airway. In the pre-antibiotic era, Ludwig’s angina was frequently fatal; however, antibiotics and aggressive surgical intervention have significantly reduced mortality. Before the advent of antibiotics, the mortality associated with Ludwig’s angina approached 50%. Today, mortality rates are in the range of 8–10%. The most common cause of death is respiratory compromise. The bacteriology of Ludwig’s angina is polymicrobial and predominantly involves the oral flora. The organisms most often isolated in patients with the disorder are Streptococcus viridans and Staphylococcus aureus.


REFERENCES

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