• Users Online: 183
  • Print this page
  • Email this page
CASE REPORT
Year : 2022  |  Volume : 24  |  Issue : 4  |  Page : 182-184

Mediastinitis, Pericarditis, Empyema, and Bacteremia: An Infrequent Complicated Ludwig's Angina Case


Department of Emergency Medicine, King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia

Correspondence Address:
Dr. Diyaa Hassan Bokhary
King Abdul-Aziz University Hospital, Jeddah
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjoh.sjoh_41_22

Rights and Permissions

Ludwig's angina is a life-threatening cellulitis of the submandibular, submental, and sublingual areas that originates mostly from odontogenic illnesses. It is associated with high morbidity and mortality rates. Its natural course, if not treated, leads to the rapid progression and development of complications, including airway compromise, necrotizing fasciitis, septic shock, pericarditis, and empyema. We report the case of a 40-year-old male who presented primarily with chest pain associated with cheek pain, sore throat, odynophagia, and subjective fever. The patient was diagnosed with Ludwig's angina secondary to a poor oral hygiene complicated by pericarditis, mediastinitis, and left-sided empyema. An immediate antibiotic administered, and subsequently neck dissection with left anterolateral thoracotomy was performed. In this case report, we highlight the importance of not only early recognition but also rapid intervention to prevent disease progression, including early empiric antibiotics, airway management, and surgical intervention, especially if the patient presents with an atypical or vague complaint.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed124    
    Printed6    
    Emailed0    
    PDF Downloaded18    
    Comments [Add]    

Recommend this journal