Chueng Kristelle, Clinkard David J, Enepekides Danny, Peerbaye Yousef, Lin Vincent Y W
Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5.
Case Rep Otolaryngol. 2012;2012:931350. doi: 10.1155/2012/931350. Epub 2012 Aug 2.
Ludwig's angina can seldom be complicated by necrotizing fasciitis. Due to the rapidly progressing nature of this infection and the potential for airway compromise and death, it is important to be aware of different ways in which this disease process can present in order to recognize and treat it emergently. We report here an unusual presentation of a case of Ludwig's angina complicated by necrotizing fasciitis in an elderly patient. The clinical features, diagnosis, and treatment are discussed in detail as well as a brief literature review on craniocervical necrotizing fasciitis.
路德维希咽峡炎很少会并发坏死性筋膜炎。鉴于这种感染进展迅速,且有气道受压和死亡的风险,了解该疾病可能出现的不同表现形式对于及时识别和治疗至关重要。我们在此报告一例老年患者路德维希咽峡炎并发坏死性筋膜炎的罕见病例。文中详细讨论了该病例的临床特征、诊断和治疗方法,并对颅颈坏死性筋膜炎进行了简要文献综述。