Journal of Natural Science, Biology and Medicine

CASE REPORT
Year
: 2012  |  Volume : 3  |  Issue : 2  |  Page : 206--208

Ludwig俟Q製 angina - An emergency: A case report with literature review


Ramesh Candamourty1, Suresh Venkatachalam1, MR Ramesh Babu2, G Suresh Kumar1 
1 Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Campus, Pillaiyarkuppam, Pondicherry, India
2 Department of Oral and Maxillofacial Surgery, Mahatma Gandhi Post Graduate Institute of Dental Sciences, Pondicherry, India

Correspondence Address:
Ramesh Candamourty
Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Campus, Pillaiyarkuppam, Pondicherry - 607 402
India

Ludwig俟Q製 angina is a form of severe diffuse cellulitis that presents an acute onset and spreads rapidly, bilaterally affecting the submandibular, sublingual and submental spaces resulting in a state of emergency. Early diagnosis and immediate treatment planning could be a life-saving procedure. Here we report a case of wide spread odontogenic infection extending to the neck with elevation of the floor of the mouth obstructing the airway which resulted in breathlessness and stridor for which the patient was directed to maintain his airway by elective tracheostomy and subsequent drainage of the potentially involved spaces. Late stages of the disease should be addressed immediately and given special importance towards the maintenance of airway followed by surgical decompression under antibiotic coverage. The appropriate use of parenteral antibiotics, airway protection techniques, and formal surgical drainage of the infection remains the standard protocol of treatment in advanced cases of Ludwig俟Q製 angina.


How to cite this article:
Candamourty R, Venkatachalam S, Ramesh Babu M R, Kumar G S. Ludwig's angina - An emergency: A case report with literature review.J Nat Sc Biol Med 2012;3:206-208


How to cite this URL:
Candamourty R, Venkatachalam S, Ramesh Babu M R, Kumar G S. Ludwig's angina - An emergency: A case report with literature review. J Nat Sc Biol Med [serial online] 2012 [cited 2020 Sep 18 ];3:206-208
Available from: http://www.jnsbm.org/article.asp?issn=0976-9668;year=2012;volume=3;issue=2;spage=206;epage=208;aulast=Candamourty;type=0