Document Detail

Ludwig's angina following herpetic gingivostomatitis in a toddler with tetralogy of Fallot.
MedLine Citation:
PMID:  15175829     Owner:  NLM     Status:  MEDLINE    
Ludwig's angina is a rare but potentially lethal cellulitis of the submandibular space that occurs most often in young adults with predisposing odontogenic infection. In contrast to adult cases, most children with Ludwig's angina have no initiating factor. We report a case of Ludwig's angina in a 15-month-old boy which developed after an episode of herpetic gingivostomatitis. Under close monitoring of respiratory status, the condition was successfully managed with antibiotic treatment. This case illustrates that Ludwig's angina can develop in association with herpetic gingivostomatitis, which is a common and usually self-limited disease in pediatric patients. Prompt recognition and aggressive management of this rare and severe secondary bacterial infection are the keys to avoiding unnecessary morbidity and mortality.
Chih-Jung Chen; Yhu-Chering Huang; Tzou-Yien Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  103     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-06-03     Completed Date:  2004-08-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  311-3     Citation Subset:  IM    
Division of Pediatric Infectious Diseases, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
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MeSH Terms
Ludwig's Angina / complications*,  drug therapy,  virology
Stomatitis, Herpetic / complications*,  drug therapy
Tetralogy of Fallot / complications

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