An Upper Airway Obstruction Emergency: Ludwig Angina

@article{Chou2007AnUA,
  title={An Upper Airway Obstruction Emergency: Ludwig Angina},
  author={Y K Chou and Chao-Yi Lee and Hai-Hsuan Chao},
  journal={Pediatric Emergency Care},
  year={2007},
  volume={23},
  pages={892-896}
}
Ludwig angina remains a potentially lethal disease, rapidly spreading bilateral cellulitis of the submental, sublingual, and submandibular spaces, which bears the threat for rapid airway obstruction. Since the introduction of antibiotics in 1940s, the mortality was reduced significantly. This resulted in the rare occurrence of the disease, leaving many physicians with limited experience of Ludwig angina. Although the occurrence of Ludwig angina in adults is rare, its presence in the pediatric… 
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TLDR
This study explored the various different microbiological, social, and epidemiological characteristics of 103 cases of odontogenic infections at a regional center which demonstrated specific predilections for the young and middle-aged, those with diabetes mellitus, African American/Black and Hispanic ethnicities, posterior teeth, left-sided dentition, and male gender.
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References

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Ludwig angina is a dreaded infection involving the sublingual, submandibular, and submental spaces. Its pathogenesis is most often related to an odontogenic infection gaining access to these spaces
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The recent experience with six cases of Ludwig's angina seen over a 32-month period has prompted this review, and all of the patients showed a prompt and complete response to treatment.
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TLDR
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TLDR
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TLDR
Treatment priorities include establishing an airway if the airway is compromised, obtaining specimen for appropriate aerobic and anaerobic sensitivity, employing antibiotics empirically, and draining infection surgically.
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TLDR
Treatment priorities include establishing an airway if the airway is compromised, obtaining specimen for appropriate aerobic and anaerobic sensitivity, employing antibiotics empirically, and draining infection surgically.
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Dr. Karl Friedrich Wilhelm von Ludwig 1 deserves a permanent place in medical history because he recognized the disease now called by his name as a distinct morbid entity characterized by anatomic,
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TLDR
Streptococcus viridans has replaced S aureus and β-hemolytic streptococci as the most common pathogen and tracheotomy is indicated in patients with Ludwig's angina.
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