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ludwig's angina

Mohamed Hisham, Mundilipalayam N Sivakumar, R S Senthil Kumar, P Nandakumar
A 52-year-old obese gentleman presented to the hospital with complaints of fever and shortness of breath for 10 days. He was admitted in the ward and treated for acute exacerbation of asthma. He was shifted to the Intensive Care Unit (ICU) for persistent fever, neck swelling, airway obstruction and desaturation. Ludwig's angina was suspected and computed tomography of neck confirmed it. A difficult airway was anticipated and preceded with surgical tracheostomy. The patient had hypersensitivity reactions to piperacillin/tazobactam; hence, he was treated with clindamycin and metronidazole...
March 2017: Indian Journal of Critical Care Medicine
Brittney Bernardoni, Riley Grosso, Elizabeth Powell, Peter V R Tilney
No abstract text is available yet for this article.
March 2017: Air Medical Journal
B Izquierdo-González, M Á Gómez-Ríos, E Freire-Vila
Acute cervical pathology may lead to serious airway compromise resulting from anatomical distortion secondary to obstruction or deviation of the upper airway, scenarios where any airway device can be fallible. Passage of a fiberoptic bronchoscopy to expose the glottis may be very difficult and tracheostomy may be impractical or risky in advanced cases. We present the use of the TotalTrack VLM to secure the airway for emergent surgery in 2 uncooperative patients with difficult airway due to Ludwig's angina and neck hematoma, respectively, both accompanied by trismus...
March 2, 2017: Revista Española de Anestesiología y Reanimación
Marcelo Guzmán-Letelier, Claudia Crisosto-Jara, Camilo Diaz-Ricouz, Miguel Peñarrocha-Diago, David Peñarrocha-Oltra
Odontogenic infections (OI) are a major reason for consultation in dental practice. They affect people of all ages, and most of them respond well to current medical and surgical treatments. However, some OI can spread to vital and deep structures, overcome the host immune system - especially in diabetic, immunocompromised or weakened patients - and even prove fatal. Ludwig's angina is a severe form of diffuse cellulitis that can have an acute onset and spread very rapidly, bilaterally affecting areas of the head and neck, and may prove life threatening...
February 2017: Journal of Clinical and Experimental Dentistry
Marina Kobayashi, Kenta Watanabe
No abstract text is available yet for this article.
February 13, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Ryan P McSpadden, James R Martin, Swati Mehrotra, Eric Thorpe
Mucormycosis is a rare fungal infection with a yearly incidence of 1.7 cases per million in the United States. It usually occurs in patients with metabolic abnormalities or who are immunocompromised with prolonged neutropenia. However, it can also occur in patients without any underlying disease process. The treatment of choice is surgical debridement of necrotic tissue and systemic antifungal therapy, including amphotericin B. A dilemma for the surgeon when faced with head and neck mucormycosis is the morbidity of surgical debridement from both a functional and cosmetic standpoint...
April 2017: Journal of Oral and Maxillofacial Surgery
Elijah Olufemi Oyetola, Taiwo Oyewole, Micheal Adedigba, Stephen Tunde Aregbesola, Kehinde Umezudike, Adedotun Adewale
INTRODUCTION: Various studies have reported poor awareness and knowledge of dentistry in the Nigerian population. There is, however, paucity of information assessing the knowledge and awareness of medical doctors/students and nurses about dentistry. The present study is aimed at determining the knowledge and awareness of medical doctors/students and nurses about dentistry. METHODS: Self-administered questionnaires were randomly distributed among medical doctors/students, and nurses of Obafemi Awolowo Teaching Hospitals' Complex, Ile-Ife, Nigeria...
2016: Pan African Medical Journal
Anthony Manasia, Nagendra Y Madisi, Adel Bassily-Marcus, John Oropello, Roopa Kohli-Seth
No abstract text is available yet for this article.
2016: IDCases
Andrew Botha, Fred Jacobs, Corne Postma
INTRODUCTION: Ludwig's angina (LA) still presents regularly at our tertiary academic hospital. Various etiologies and comorbid diseases are documented worldwide, but the South African population has not been studied. AIM: To establish whether LA cases presenting to the department are different from international reports regarding etiology and comorbidities. SETTINGS AND DESIGN: Retrospective analysis of patients presenting with LA to a tertiary hospital...
July 2015: Annals of Maxillofacial Surgery
Satvinder Singh Bakshi
No abstract text is available yet for this article.
June 2016: Archives of Disease in Childhood
Gaurav Kataria, Aditi Saxena, Sanjeev Bhagat, Baldev Singh, Manpreet Kaur, Gurpreet Kaur
INTRODUCTION: Deep neck space infections (DNSI) are serious diseases that involve several spaces in the neck. The common primary sources of DNSI are dental infections, tonsillar and salivary gland infections, malignancies, and foreign bodies. With widespread use of antibiotics, the prevalence of DNSI has been reduced. Common complications of DNSI include airway obstruction, jugular vein thrombosis, and sepsis. Treatment principally comprises airway management, antibiotic therapy, and surgical intervention...
July 2015: Iranian Journal of Otorhinolaryngology
Benjamin Fomete, Rowland Agbara, Daniel Otasowie Osunde, Charles N Ononiwu
OBJECTIVES: Infection involving the orbit, zygomatic space, lateral pharyngeal space, or hemifacial and oral floor phlegmon is referred to as cervicofacialvinfection (CFI). When diagnosis and/or adequate treatment are delayed, these infections can be life-threatening. Most cases are the result of odontogenic infections. We highlight our experiences in the management of this life-threatening condition. MATERIALS AND METHODS: This was a retrospective study of patients who presented with CFI from December 2005 to June 2012 at the Oral and Maxillofacial Surgery Clinic or the Accident and Emergency Unit of Ahmadu Bello University Teaching Hospital (Zaria, Nigeria)...
December 2015: Journal of the Korean Association of Oral and Maxillofacial Surgeons
M P Sujatha, Ravi Madhusudhana, K S Amrutha, Neha Nupoor
No abstract text is available yet for this article.
October 2015: Indian Journal of Anaesthesia
Tristan C Dumbarton, Orlando R Hung, Blaine Kent
In this report, we describe the case of a young female with Down syndrome who presented to the anesthesia service after pulseless electrical activity arrest with a King LT(S)-D extraglottic airway device in situ. She had multiple predictors of difficult intubation, including what appeared to be a submental mass consistent with Ludwig's angina. She went on to receive an urgent tracheotomy because of those predictors but had full resolution of the submental mass on removal of the extraglottic airway device, which had been overinflated at the time of insertion...
February 15, 2016: A & A Case Reports
Eunice E Dixon, Russell W Steele
No abstract text is available yet for this article.
April 2016: Clinical Pediatrics
Kemal Tekeli, Guven Kaya, Samuel Grant, Michael Williams, David Howlett
No abstract text is available yet for this article.
2015: BMJ: British Medical Journal
Emily Lovallo, Sarah Patterson, Mitchel Erickson, Cynthia Chin, Paul Blanc, Timur S Durrani
Sublingual hematoma secondary to short-acting anticoagulants such as warfarin has been labeled "pseudo-Ludwig's angina" to distinguish it from the classic syndrome of localized infection and swelling involving the upper airway. Sublingual hematoma with airway compromise secondary to brodifacoum, a common long-acting anticoagulant rodenticide, has only been reported in the veterinary literature. We report a case of massive tongue swelling and impending airway compromise in the context of an intentional long-acting anticoagulant ingestion leading to coagulopathy...
April 2013: Journal of Investigative Medicine High Impact Case Reports
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...
July 31, 2015: Revista Brasileira de Anestesiologia
Silpa Yalamanchili, Wayne Bond Lau
No abstract text is available yet for this article.
October 2015: Journal of Emergency Medicine
Engin Umut Sakarya, Erkan Kulduk, Onur Gündoğan, Fatih Kemal Soy, Rıza Dündar, Ahmet Erdem Kılavuz, Can Özbay, Erdem Eren, Abdulkadir İmre
OBJECTIVES: This retrospective study aims to detect the prognostic factors which affect the duration of hospital stay and evaluate the complications which develop in patients with deep neck infection. PATIENTS AND METHODS: The study included 77 patients (40 males, 37 females; mean age 42.4±20.1 years; range 11 to 88 years) treated with a diagnosis of deep neck infection in our clinic between November 2006 and November 2012. Patients' demographic and clinical features were analyzed to detect their associations with development of complications and hospitalization time...
2015: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
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