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Angina de ludwig

Orville V Baez-Pravia, Miriam Díaz-Cámara, Oscar De La Sen, Carlos Pey, Mercedes Ontañón Martín, Luis Jimenez Hiscock, Begoña Morató Bellido, Ángel Luis Córdoba Sánchez
RATIONALE: Cervical necrotizing fasciitis (CNF) and descending necrotizing mediastinitis (DNM) are rare forms of complication of Ludwig angina. These potentially lethal infections are difficult to recognize in early stages and are often associated with predisposing factors like diabetes and immunocompromised states. Moreover, IgG hypogammaglobulinemia (hypo-IgG) is considered to be a risk factor of mortality in patients with septic shock; however, it is not routinely quantified in patients with extremely serious infections, particularly in cases with no history or evidence of immunocompromising disorders...
November 2017: Medicine (Baltimore)
Roberto Taboada Fellini, Daniel Volquind, Otávio Haygert Schnor, Marcelo Gustavo Angeletti, Olívia Egger de Souza
BACKGROUND: Ludwig's angina (LA) is an infection of the submandibular space, first described by Wilhelm Frederick von Ludwig in 1836. It represents an entity difficult to manage due to the rapid progression and difficulty in maintaining airway patency, a major challenge in medical practice, resulting in asphyxia and death in 8-10% of patients. OBJECTIVE: Describe a case of a patient with Ludwig's angina undergoing surgery, with emphasis on airway management, in addition to reviewing the articles published in the literature on this topic...
November 2017: Revista Brasileira de Anestesiologia
Clare E Appleby, Raj S Khattar, Kenneth Morgan, Bernard Clarke, Nicholas Curzen, Ludwig Neyses, Farzin Fath-Ordoubadi
AIMS: Drug eluting stents (DES) have had a great impact in reducing in-stent restenosis (ISR) in de novo lesions. However, long-term data regarding effectiveness and safety of these stents in treating bare metal stent (BMS) ISR are limited. We report long-term clinical outcomes in a cohort of patients with BMS-ISR treated with DES between April 2002 and December 2003 at our institution. METHODS AND RESULTS: Sixty-nine consecutive patients with significant BMS-ISR were treated with DES implantation...
January 2011: EuroIntervention
Renato A K Kalil, Felipe Borsu de Salles, Imarilde Inês Giusti, Clarissa Garcia Rodrigues, Sang Won Han, Roberto Tofani Sant'Anna, Eduardo Ludwig, Gabriel Grossman, Paulo Roberto Lunardi Prates, João Ricardo Michelin Sant'anna, Guaracy Fernandes Teixeira Filho, Nance Beyer Nardi, Ivo Abrahão Nesralla
OBJECTIVE: Safety, feasibility and early myocardial angiogenic effects evaluation of transthoracic intramyocardial phVEGF165 administration for refractory angina in no option patients. METHODS: Cohort study, in which 13 patients with refractory angina under optimized clinical treatment where included, after cineangiograms had been evaluated and found unfeasible by surgeon and interventional cardiologist. Intramyocardial injections of 5 mL solution containing plasmidial VEGF165 where done over the ischemic area of myocardium identified by previous SPECT/Sestamibi scan...
July 2010: Revista Brasileira de Cirurgia Cardiovascular
No abstract text is available yet for this article.
January 1947: Boletim
J T van Kuilenburg, J van Niekerk, H Sinnige, C P C de Jager
No abstract text is available yet for this article.
October 2009: Netherlands Journal of Medicine
Wilson Denis Martins, Sergio Vieira, Lucia de Fátima Avila
No abstract text is available yet for this article.
August 2005: British Journal of Oral & Maxillofacial Surgery
Y De Bast, O Appoloni, C Firket, M Capello, P Rocmans, J L Vincent
Ludwig's angina is a rare infectious condition originating in the oropharyngeal region, most commonly from the teeth. The principal symptoms consist of cervical pain, dyspnea, dysphagia, symmetrical neck swelling and fever. Serious complications include respiratory collapses, mediastinitis, pleural empyema, pericarditis and pericardial tamponade, and may result in the death of the patient. The most useful investigations in patients with suspected Ludwig's angina are clinical assessment, a cervico-thoracic CT-scan to determine the extent of the lesions, microbiological examination and panoramic radiography to detect possible dental focuses of infection...
June 2000: Revue Médicale de Bruxelles
M Landa Aranzábal, J J Navarro Sampedro, M Fernández de Pinedo Sáez, J Algaba Guimerá
Ludwig's angina is a cellulitis, usually of odontogenic origin, involving the submandibular space. The number of cases has been heavily lowered since the introduction of antibiotherapy. The treatment consists in an aggressive antibiotherapy and, sometimes, surgical drainage. Complications are: acute respiratory obstruction and spreading of the infection through the neck spaces till the mediastinum. We report one cas complicated with mediastinitis which diagnosis was based in radiological data, basically provided for TAC, The treatment required surgical drainage and antibiotherapy...
1995: Anales Otorrinolaringológicos Ibero-americanos
J Vries de, L E Francis
No abstract text is available yet for this article.
February 1974: Dental Journal
A F Dreyer, S E de Kock, J L Rantloane
A case of Ludwig's angina which developed after mandibular fractures in a 14-year-old male patient is reported. We emphasise the serious nature of this condition and the aggressive treatment it requires. It is important to recognise cases of Ludwig's angina at an early stage, as well as cases which are at risk of developing into true Ludwig's angina if treatment is delayed. Management should be aimed at maintaining an open airway by nasotracheal intubation or cricothyroidotomy, together with treatment of the infection by removal of the source, drainage of pus and parenteral antibiotic therapy...
September 1990: Journal of the Dental Association of South Africa
A S Esgaib, M C Ghefter, R de M Lyra, R B Guidugli, A L Trajano, S M Ferreira
The objective of this study is to decode the etiopathogenesis, the clinical feature, the diagnosis and the prognosis of the acute mediastinitis resulting of infectious processes of the cephalic segment. Three out of five patients studied presented focus of dental origin and two patients presented focus in the face area. One of them presented Ludwig's Angina before the suppurative process would spread over the mediastinum. In the others, there was fast expansion through the fascial spaces of the neck and, in two of them, besides the mediastinum, there was pleuropericardial involvement...
September 1992: Revista Paulista de Medicina
G De Heyn, J P Mullier, J M De Smet
After two case reports of Ludwig's angina, the pathogenesis, the bacteriology and the treatment of this syndrome is reviewed. The initial antimicrobial therapy should be broad enough to inhibit the gram-negative and anaerobic organisms. The antibiotherapy should be completed by the incision and the drainage of the submandibular region. The sudden airway obstruction will be prevented by a tracheotomy under local anesthesia.
1979: Acta Oto-rhino-laryngologica Belgica
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