scholarly journals An Unusual Presentation of Ludwig’s Angina Complicated by Cervical Necrotizing Fasciitis: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Kristelle Chueng ◽  
David J. Clinkard ◽  
Danny Enepekides ◽  
Yousef Peerbaye ◽  
Vincent Y. W. Lin

Ludwig’s angina can seldom be complicated by necrotizing fasciitis. Due to the rapidly progressing nature of this infection and the potential for airway compromise and death, it is important to be aware of different ways in which this disease process can present in order to recognize and treat it emergently. We report here an unusual presentation of a case of Ludwig’s angina complicated by necrotizing fasciitis in an elderly patient. The clinical features, diagnosis, and treatment are discussed in detail as well as a brief literature review on craniocervical necrotizing fasciitis.

2018 ◽  
Vol 23 (2) ◽  
pp. 89 ◽  
Author(s):  
AdityaPratap Singh ◽  
Ramesh Tanger ◽  
Vinay Mathur ◽  
ArunKumar Gupta

Author(s):  
GERSON DE OLIVEIRA PAIVA-NETO ◽  
TATIANA NAYARA LIBORIO-KIMURA ◽  
KAMYLA SOUZA DE VASCONCELOS ◽  
JECONIAS CÂMARA ◽  
NELY CRISTINA MEDEIROS CAIRES

2018 ◽  
Vol 1 (1) ◽  
pp. 33-36
Author(s):  
Nilesh Tejura ◽  
Rajendra Kapila ◽  
Lisa Dever

Ludwig’s angina is a rapidly spreading infection of the floor of the mouth and neck.  A rare and dreaded complication of Ludwig’s angina is extension of the infection to the mediastinum.  We describe a unique case of Ludwig’s angina presenting with descending necrotizing mediastinitis, with the subsequent development of Candida albicans and Candida krusei mediastinitis.


Author(s):  
Ekaniyere EB

Background: Even though the decompression of the cellulitis phase of Ludwig’s angina (LA) by surgical or pharmacological approach is well documented, it is unclear which approach is more effective. Objective: We aim to compare the outcome of treatment between surgical versus pharmacological decompression in patients with LA. Subjects and Methods: A retrospective cohort study was designed. Data were collected from the case notes of patients that met the inclusion criteria from 2004 to 2018 at the University of Benin Teaching Hospital, Nigeria.The data were age, gender, type of decompression approach, length of hospital stay (LOS) and airway compromise. Result: A total of 62 patients comprising 37(59.7%) surgical decompression group and 25(40.3%) pharmacological decompression group were studied. Thirty-six (58.1%) males and 26 (41.9%) females were studied. Their mean age and standard deviation were 40.6 years and 11.9 years respectively. The mean length of hospital stays between the pharmacological and surgical decompression groups were 8.05 days and 13.8 days respectively. The incidence of airway compromise in the surgical decompression group was 19.9% lower than that of the pharmacological decompression group (P=0.47), which was not significant. The type of decompression approach also failed to influence the incidence of airway compromise (P = 0.41). Conclusion: The use of surgical versus pharmacological decompression does not significantly alter the incidence of airway compromise in the management of LA. The Patients that had surgical decompression had a shorter stay in the hospital as compared to those who had pharmacological decompression. This was not statistically significant.


2021 ◽  
Vol 12 ◽  
pp. 215265672098478
Author(s):  
Abdulrahman Alghulikah ◽  
Norah Musallam ◽  
Ibrahim Sumaily ◽  
Amany Fathaddin ◽  
Surayie Aldossary

Cholesterol Granulomas of the Maxillary Sinus, considered an unusual presentation at this anatomical site. Over last 2 decades, only few cases are reported in the literature (English) and no available comprehensive reviews or studies on this entity. Herein in this article we present a comprehensive literature review of the available reports of 16 cases along with reporting a new case which we managed, aided with its histopathological pictures. This review article can be a reference for practitioners in the field of otorhinolaryngology who may encounter these cases. Also, it attracts the attention to consider this pathology among the differential diagnoses of nasal masses. Moreover, including a described pathological imaging may help young pathologist to identify this pathology.


2006 ◽  
Vol 31 (7) ◽  
pp. 1193-1196 ◽  
Author(s):  
J. Woodfin Kennedy ◽  
Lesley K. Wong ◽  
Behrooz Kalantarian ◽  
Leslie Turner ◽  
Cauley W. Hayes

Sign in / Sign up

Export Citation Format

Share Document