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Severe Ludwig's angina caused by an unknown insect bite
Gihad Almadhi1, Mohammed Alkathlan2, Othman Alharbi1
1College of Medicine, Qassim University, Buraidah, Qassim, Saudi Arabia.
BMJ Case Reports
|August 21, 2021
Summary
This case study highlights a rare instance of insect-bite-induced Ludwig
Area of Science:
- Emergency Medicine
- Infectious Diseases
Background:
- Ludwig's angina is a severe, rapidly progressive bacterial infection of the submandibular, sublingual, and sublingual spaces.
- Typically, it arises from odontogenic infections, but non-odontogenic causes are less common.
Observation:
- A 75-year-old man presented with facial swelling and choking.
- A recent insect bite on the parotid gland area was the only notable history.
- The patient was diagnosed with Ludwig's angina.
Findings:
- Enterococcus faecalis was identified in blood cultures, indicating the source of infection.
- The patient required intubation and tracheostomy for airway management.
- Treatment involved intravenous antibiotics and corticosteroids.
Implications:
- This case suggests a potential link between insect bites and the development of Ludwig's angina.
- Further documentation of similar cases is necessary to validate this association.
- Highlights the importance of considering unusual etiologies in severe infections.
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