| Ludwig's angina: a clinical review. | |
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MedLine Citation:
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PMID: 12937916 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ludwig's angina is caused by a rapidly expanding cellulitis of the floor of the mouth and is characterized by a brawny induration of the floor and suprahyoid region (bilaterally), with an elevation of the tongue potentially obstructing the airway. In the pre-antibiotic era, Ludwig's angina was frequently fatal; however, antibiotics and aggressive surgical intervention have significantly reduced mortality. We reviewed nine patients with Ludwig's angina between July 1996 and June 2002, all of whom presented with fever, neck swelling, bilateral submandibular swelling and elevation of the tongue. In eight patients (89%) a dental infection appeared to be the underlying cause. High-dosage intravenous antibiotics directed towards the suspected causative microorganisms were given to all of the patients: two were treated successfully with conservative medical management, while seven underwent surgical drainage (a tracheotomy was necessary in one patient). Routine aerobic cultures were done on samples of drained material and the predominant microorganisms were Streptococcus species in two patients; there were none in the other five. Two patients had post-operative complications, but all recovered. |
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Authors:
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Somchai Srirompotong; Thumnu Art-Smart |
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Publication Detail:
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Type: Journal Article Date: 2003-02-13 |
Journal Detail:
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Title: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery Volume: 260 ISSN: 0937-4477 ISO Abbreviation: Eur Arch Otorhinolaryngol Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-08-25 Completed Date: 2004-02-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9002937 Medline TA: Eur Arch Otorhinolaryngol Country: Germany |
Other Details:
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Languages: eng Pagination: 401-3 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, 40002 Khon Kaen, Thailand. srirompotong@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Academic Medical Centers Adolescent Adult Aged Airway Obstruction / physiopathology* Anti-Bacterial Agents / administration & dosage Child Drainage / methods Female Hospitalization Humans Ludwig's Angina* / diagnosis, epidemiology, microbiology, physiopathology, therapy Male Medical Records Middle Aged Mouth Floor / microbiology, pathology* Retrospective Studies Streptococcal Infections / complications* Thailand |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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