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Case Reports
. 2022 Jan;42(1):99-102.
doi: 10.1111/scd.12643. Epub 2021 Aug 26.

Ludwig's angina in a COVID positive patient-An atypical case report

Anish Poorna T  1 , Lokesh J R  1 , Joshna Ek  1 , Bobby John  1
Affiliations
Case Reports

Ludwig's angina in a COVID positive patient-An atypical case report

Anish Poorna T et al. Spec Care Dentist. 2022 Jan.

Abstract

The management of odontogenic infections is established and several guidelines have been proposed for its effective treatment. Outbreak of COVID-19 has posed serious challenge in the management of odontogenic infections, further complicated by immunocompromised status of the patient, where adequate evaluation and prompt attention is mandatory to avoid untoward consequences. Ludwig's angina being a life threatening infection by itself, association or simultaneous presentation with COVID-19 infection can add further complexity in the management for a maxillofacial surgeon. Here we present a case report of Ludwig's angina in a patient who tested positive for Coronavirus infection and how we treated her successfully.

Keywords: COVID-19; Ludwig's angina; extraction; odontogenic infection.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Radiograph showing foci of infection 16, 36, 46 root stumps and carious 26, 37
FIGURE 2
FIGURE 2
The CECT axial view showing involvement of pharyngeal space (marked by blue arrow) and submandibular spaces (marked by yellow arrow)
FIGURE 3
FIGURE 3
Status of patient on day six with Ludwig's angina showing spread of infection to right buccal space clinically
See this image and copyright information in PMC

References

    1. Parker E, Mortimore G. Ludwig's angina: a multidisciplinary concern. Br J Nurs. 2019;28(9):547‐551. - PubMed
    1. Quinn FB Jr. Ludwig angina. Arch Otolaryngol Head Neck Surg. 1999;125(5):599. - PubMed
    1. Bansal A, Miskoff J, Lis RJ. Otolaryngologic critical care. Crit Care Clin. 2003;19(1):55‐72. - PubMed
    1. Edetanlen BE, Saheeb BD. Comparison of outcomes in conservative versus surgical treatments for Ludwig's angina. Med Princ Pract. 2018;27(4):362‐366. - PMC - PubMed
    1. Anka AU, Tahir MI, Abubakar SD, et al., Coronavirus disease 2019 (COVID‐19): an overview of the immunopathology, serological diagnosis and management. Scand J Immunol. 2021;93(4):e12998. - PMC - PubMed

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