Ludwig's Angina with superior mediastinitis of odontogenic origin: Case report
DOI:
https://doi.org/10.34631/sporl.1006Keywords:
Ludwig's angina, necrotizing fasciitis, superior mediastinitis, odontogenicAbstract
Ludwig's angina is characterized by being an acute and severe infectious process, which consists of cellulitis of the cervical connective tissue. Its origin is usually polymicrobial, usually of dental origin. Due to its rapid evolution, it can reach facial spaces, spreading to the cervical region, and consequently obstructing the airways. Disease progression can reach the mediastinum, causing severe respiratory failure and possibly progressing to septic conditions, in which emergency measures such as tracheostomy and antimicrobial therapy are required for both gram-positive and gram-negative microorganisms, in addition to anaerobes. This article presents a case of Ludwig's angina with evolution to mediastinitis in an 18-year-old male patient, treated at the Hospital e Pronto Socorro João Lúcio Pereira Machado - AM, with a clinical picture suggestive of Necrotizing Cervical Fasciitis of Odontogenic origin, of necessity the use of tracheostomy as an auxiliary control conduct.
References
Rôças IN, Alves FR, Rachid CT, Lima KC, Assunção IV, Gomes PN. et al. Microbiome of deep dentinal caries lesions in teeth with symptomatic irreversible pulpitis. PLoS One. 2016 May 2;11(5):e0154653. doi: 10.1371/journal.pone.0154653.
Kérourédan O, Jallon L, Perez P, Germain C, Péli J, Oriez D. et al. Efficacy of orally administered prednisolone versus partial endodontic treatment on pain reduction in emergency care of acute irreversible pulpitis of mandibular molars: study protocol for a randomized controlled trial. Trials. 2017 Mar 28;18(1):141. doi: 10.1186/s13063-017-1883-x.
Fellini RT, Volquind D, Schnor OH, Angeletti MG, Souza OE. Manejo da via aérea na angina de Ludwig - um desafio : relato de caso. Rev Bras Anestesiol. 2017 Nov-Dec;67(6):637-640. doi: 10.1016/j.bjan.2014.10.004
Tavares SSS, Tavares GR, Cavalcanti MOA, Carreira PFS, Cavalcante JR, Paiva MAF. Angina de Ludwig : revisão de literatura e relato de caso. Rev. Cir. Traumatol. Buco-Maxilo-fac. 2009 Jul-Set; 9(3): 9-14.
de Lima Júnior MO, França AJB, Pereira VBS, Soares CF, Aguiar LD, Valente ROH. Fasceíte necrotizante cervical: relato de caso. Rev. Cir. Traumatol. Buco-Maxilo-Fac. 2000 Jul/Sep; 20(3): 44-47. doi:10.34117/bjdv6n8-456.
Kirchhoff AL, Viapiana R, Ribeiro RG. Repercussões periapicais em dentes com necrose pulpar. RGO, Rev. gaúch. odontol. [Internet] 2013 Jul/Dez; 61(supl.1): 469-75. Disponível em: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1981-86372013000500007
Dib JE, Squeff FA, Andrade DO, Ferreira MS, Dib MBE, Dib JBE. et al. Angina de Ludwig com evolução para mediastinite. relato de caso. Rev. cir. traumatol. buco-maxilo-fac [Online] 2016 Out/Dez; 16(4): 30-5. Disponível em: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808-52102016000400006
Brommelstroet M, Rosa JFT, Boscardim PCB, Schmidlin CA, Shibata S. Mediastinite descendente necrosante pós-angina de Ludwig. J Pneumol [Online] 2001 Set/Out; 27(5): 269-71. Disponível em: https://doi.org/10.1590/S0102-35862001000500007.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
