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Potentially Fatal Ludwig's Angina: A Case Report
Prasanna R Sonar1, Aarati Panchbhai1, Aachal N Lande2
1Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|December 18, 2023
Summary
Ludwig's angina is a severe, rapidly progressing neck infection that can obstruct the airway. Prompt diagnosis and airway management, including tracheostomy, are crucial for survival.
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
- Emergency Medicine
Background:
- Ludwig's angina is a rapidly progressing, potentially fatal cellulitis of the submandibular, sublingual, and submental spaces.
- Odontogenic infections are a common etiology, leading to significant neck space involvement.
Observation:
- Acute onset with rapid progression characterized by severe diffuse cellulitis.
- Airway impairment, including tongue elevation and floor of mouth swelling, leading to obstruction and stridor.
- Extension of infection to the neck spaces is a critical observation.
Findings:
- Airway obstruction is a life-threatening complication requiring immediate attention.
- Surgical decompression, parenteral antibiotics, and airway management are standard treatment protocols.
- Case reports are vital for enhancing clinical knowledge and improving diagnostic and treatment strategies.
Implications:
- Early recognition and intervention are critical for patient survival.
- A multidisciplinary approach involving surgery, infectious disease, and critical care is often necessary.
- Further case studies can refine understanding and management of this severe condition.
