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Ludwig's Angina in Pregnancy: A Case Report
Marie-Julie Trahan1, Laura Nicholls-Dempsey1, Keith Richardson2
1Department of Obstetrics and Gynecology, McGill University, Montréal, QC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|July 8, 2020
Summary
Pregnant women face increased oral health risks, including severe infections like Ludwig's angina. Prompt dental treatment and counseling are crucial for maternal and fetal well-being during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Dental Medicine
- Infectious Diseases
Background:
- Pregnancy-related physiological changes can increase susceptibility to oral health issues.
- Inadequate oral health counseling and care during pregnancy can lead to serious odontogenic infections.
- Untreated dental conditions pose significant risks to pregnant individuals.
Observation:
- A case of Ludwig's angina in a 40-week pregnant woman with severe neck swelling, jaw pain, and trismus is presented.
- The condition was secondary to an untreated dental cavity.
- Management involved emergency airway securing, urgent cesarean delivery, and surgical drainage.
Findings:
- Ludwig's angina during pregnancy is linked to severe maternal morbidity.
- Prompt diagnosis and treatment of dental infections are essential.
- Pregnancy should not be a reason to delay or deny necessary dental care.
Implications:
- Healthcare providers must counsel pregnant women on maintaining oral hygiene.
- Integrating dental health into routine prenatal care is recommended.
- Timely intervention can prevent life-threatening complications in pregnant patients with dental infections.
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