Ludwig's angina is a serious, often fatal infectious disease process that requires prompt intervention of life-saving therapies. The critical care nurses caring for a patient with Ludwig's angina must be able to recognize subtle changes in the patient's status and intervene quickly to prevent death by airway edema or profound sepsis.
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Importance of the Physical Exam in Diagnosing Ludwig's Angina Without Access to Modern Imaging Modalities in the Developing World.
Cureus
November 2024
Internal Medicine, Johnston Memorial Hospital, Abingdon, USA.
Ludwig's angina (LA) is a rapidly progressive cellulitis-causing airway obstruction that can spread through fascial planes to the floor of the mouth and into the mediastinum. Early recognition and treatment are essential for preventing potentially fatal complications. Diagnosis is based on clinical suspicion and confirmed through CT and ultrasound (US).
View Article and Find Full Text PDFA Fatal Outcome of Ludwig's Angina and Necrotizing Fasciitis Following Traditional Tooth Extraction.
Int Med Case Rep J
December 2024
Department of Oral and Maxillofacial Surgery, Kampala International University-Teaching Hospital, Bushenyi, Uganda.
Ludwig's angina is a potentially fatal condition characterized by a rapid onset of cellulitis that bilaterally involves the submandibular, sublingual, and submental spaces. This report describes the case of a 29-year-old female who presented to us with Ludwig's angina following a tooth extraction performed by a traditional healer in Southwestern Uganda. The patient stayed home for over a week before she could seek formal treatment, and this delay led to severe infection and necrotizing fasciitis with extensive tissue necrosis.
View Article and Find Full Text PDFThe use of antibiotics in the management of odontogenic facial swellings in children and adolescents: A scoping review.
J Dent
December 2024
Melbourne Dental School, Faculty of Medicine, Dental and Health Sciences, The University of Melbourne, Australia; Inflammatory Origins, Murdoch Children's Research Institute, The Royal Children's Hospital, Australia; Department of Dentistry, The Royal Children's Hospital Melbourne, Australia.
Objectives: To identify evidence and guidelines relating to the use of antibiotics in the management of odontogenic facial swellings in children and adolescents.
Data: Articles relating to odontogenic facial swellings in children and adolescents aged 0-16 years were included. Articles in which paediatric data could not be differentiated from adult data or where the age of participants were unknown were excluded.
Maxillofacial Infections: A 5-Year Assessment of the Epidemiology and Etiology in an Iranian Population.
J Maxillofac Oral Surg
December 2024
Oral and maxiloofacial diseases research center, Mashhad university of medical sciences, Mashhad, Iran.
Objective: The purpose of this study was to assess the epidemiologic factors associated with maxillofacial infections in a sample of Iranian patients.
Methods And Materials: A number of 209 patients, who admitted to Kamyab hospital due to maxillofacial infections, were recruited in this 5-year cross-sectional study. Multiple variables including the offending tooth, type of abscess, clinical signs and symptoms, the type of prescribed antibiotic, type of anesthesia, employed surgical technique, period of hospitalization, and postoperative complications were analyzed using SPSS software.
Effective blind bilateral superficial cervical plexus block for tracheostomy tube insertion in a geriatric patient with Ludwig angina with hypertension in resource constrained area: a case report.
J Med Case Rep
November 2024
Lecturer at Wachemo University Department of Anesthesia, Hosanna, Ethiopia.
Article Synopsis
- * A case study highlighted a 70-year-old woman treated for Ludwig angina using a superficial cervical plexus block, which allowed for successful surgery and stable postoperative recovery without major complications.
- * Proper airway management is crucial in treating Ludwig angina, as many patients require advanced care measures; however, there is still a lack of consensus on the best practices among healthcare providers.
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