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Ludwig's Angina Resulting in Mortality: an Autopsy Case
The Bulletin of Legal Medicine,
Vol. 25 No. 3 (2020)
Abstract
Ludwig's angina (LA) is a form of cellulitis that bilaterally affects the sublingual and submandibular soft tissue above the mylohyoid diaphragm at the base of the mouth. Due to its complications, the mortality rate of up to 50% has declined up to 8% in recent years with modern treatment options. Due to its complications, the mortality rate of up to 50% has declined up to 8% in recent years with the contribution of modern treatment options. In this article, a case of LA resulting with death is presented with autopsy findings. In cases where phlegmon is opened with an intraoral incision, the risk of aspiration pneumonia should be taken into consideration. In order to detect LA and its complications, organs and soft tissues of the oral cavity, neck region and thoracic cavity should be carefully examined in autopsy cases.
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- Vallée M, Gaborit B, Meyer J, Malard O, Boutoille D, Raffi F, Espitalier F, Asseray N. Ludwig's angina: A diagnostic and surgical priority. Int J Infect Dis. 2020;93:160-162. https://doi.org/10.1016/j.ijid.2020.01.028.
- Alpay HC, Karlıdağ T, Kaygusuz İ, Sapmaz E, Karlıdağ GE, Yalçın Ş. Ludwig anjini: 26 olgunun retrospektif analizi. KBB ve BCC Dergisi. 2008; 16(3):119-124.
- McDonnough JA, Ladzekpo DA, Yi I, Bond WR Jr, Ortega G, Kalejaiye AO. Epidemiology and resource utilization of ludwig's angina ED visits in the United States 2006-2014. Laryngoscope. 2019;129(9):2041-2044. https://doi.org/10.1002/lary.27734
- Saifeldeen K, Evans R. Ludwig's angina. Emerg Med J. 2004;21:242-243. https://doi.org/10.1136/emj.2003.012336
- An J, Madeo J, Singhal M. Ludwig Angina. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
- Juncar M, Juncar RI, Onisor-Gligor F. Ludwig's angina, a rare complication of mandibular fractures. J Int Med Res. 2019;47(5):2280-2287. https://doi.org/10.1177/0300060519840128
- Koh YH. A rare case of Ludwig's angina after viper bite. BMJ Case Rep. 2017;2017:bcr2016218427. https://doi.org/10.1136/bcr-2016-218427
- Brook I. Microbiology and principles of antimicrobial therapy for head and neck infections. Infect Dis Clin North Am. 2007;21(2):355-391. https://doi.org/10.1016/j.idc.2007.03.014
- Crespo AN, Chone CT, Fonseca AS, Montenegro MC, Pereira R, Milani JA. Clinical versus computed tomography evaluation in the diagnosis and management of deep neck infection. Sao Paulo Med J. 2004;122(6):259-263. https://doi.org/10.1590/s1516-31802004000600006
- İslamoğlu Y, Fetullayev T, Beton S, Meco BC, Meco C. Giant Ludwig angina reason of airway obstruction. JAREM. 2018;8(2):116-118. https://doi.org/10.5152/jarem.2018.1678
- Manasia A, Madisi NY, Bassily-Marcus A, Oropello J, Kohli-Seth R. Ludwig's angina complicated by fatal cervicofascial and mediastinal necrotizing fasciitis. IDCases. 2016;4:32-33. https://doi.org/10.1016/j.idcr.2016.03.001
- Price JW. II. Ludwig's Angina. Report of Five Cases Including One Autopsy. Ann Surg. 1908;48(5):649-661. https://doi.org/10.1097/00000658-190811000-00002
- Marcus BJ, Kaplan J, Collins KA. A case of Ludwig angina: a case report and review of the literature. Am J Forensic Med Pathol. 2008;29(3):255-259. https://doi.org/10.1097/PAF.0b013e31817efb24
- Lee WI, Lee J, Bassed R, O'Donnell C. Post-mortem CT findings in a case of necrotizing cellulitis of the floor of the mouth (Ludwig angina). Forensic Sci Med Pathol. 2014;10(1):109–113. https://doi.org/10.1007/s12024-013-9499-2
- Miller CR, Von Crowns K, Willoughby V. Fatal Ludwig's Angina: Cases of Lethal Spread of Odontogenic Infection. Acad Forensic Pathol. 2018;8(1):150-169. https://doi.org/10.23907/2018.011