Rare Case of Ludwig's Angina in a Child
Shikha Kakkat1, Sham Lohiya1, Yarraiahgari Maheswara1
1Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
Ludwig
Area of Science:
- Pediatric Infectious Diseases
- Otolaryngology
Background:
- Ludwig's angina is a rare, severe bacterial infection of the floor of the mouth.
- It can rapidly progress, causing airway obstruction and sepsis, particularly in infants.
- Prompt diagnosis and treatment are crucial for favorable outcomes.
Abstract:
The parents of an 11-month-old infant presented her to the hospital due to her persistent fever and the presence of a swollen neck over a period of four days. Inflammation and discomfort were observed on both sides of her neck, particularly around the parotid glands. Notably, a localized collection of pus was identified beneath her left jaw while both sides of her jaw exhibited swelling, albeit with less sensitivity. A neck scan revealed an infection in the jaw region, accompanied by swelling in the facial skin and underlying tissue. The diagnosis rendered was Ludwig's angina, for which the prescribed course of treatment involved administering intravenous antibiotics such as amikacin, vancomycin, and Meropenem. The patient exhibited improvement after the treatment and was subsequently discharged from the hospital.
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