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Purulent mediastinal abscess secondary to Ludwig's angina
Archives of Otolaryngology (Chicago, Ill. : 1960)
|January 1, 1983
Abstract:
A case of Ludwig's angina dissected along deep cervical fascial planes into the mediastinum caused a virulent mediastinitis and abscess. Computed tomography precisely delineated the extent of the infection. Incomplete débridement resulted in a residual abscess and persistent systemic sepsis that culminated in the patient's death. Aggressive antibiotic treatment of the orofacial cellulitis along with complete mediastinal drainage are recommended for optimal outcome.
Insights
Ludwig's angina can spread to the mediastinum, causing severe infection. Complete surgical drainage and antibiotics are crucial for treating this deep neck infection and preventing fatal outcomes.
Area of Science:
- Medicine
- Infectious Diseases
- Surgery
Background:
- Ludwig's angina is a severe, rapidly progressing bacterial infection of the floor of the mouth.
- Deep cervical fascial planes can serve as a pathway for infection to spread into the mediastinum.