College of Medicine, Qassim University, Buraidah, Qassim, Saudi Arabia.
Infectious Diseases, King Fahad Specialist Hospital, Buraydah, Qassim, Saudi Arabia.
BMJ Case Rep. 2021 Aug 20;14(8):e243566. doi: 10.1136/bcr-2021-243566.
Hereby, we report a case of a 75-year-old man who presented with a 3-day history of facial swelling and choking sensation. The only history of note was an insect bite on the left parotid gland area 3 days prior. The patient was later diagnosed with insect-bite-induced Ludwig's angina. was detected on blood cultures and was presumed the source of infection. Intravenous antibiotics and corticosteroids were initiated. The patient was intubated and was subsequently made to undergo a tracheostomy insertion to establish a definitive airway. He was admitted to the intensive care unit and when his condition improved, he was transferred to the ward for full recovery. The patient spent a total of 66 days in hospital before being discharged. This case suggests that Ludwig's angina can be caused by insect bites. However, further similar cases are needed to be documented to explore this theory.
在此，我们报告一例 75 岁男性患者，其因面部肿胀和窒息感就诊，病程 3 天。唯一值得注意的既往史是 3 天前左侧腮腺区的昆虫叮咬。患者后来被诊断为虫咬性路德维希咽峡炎。血培养检测到 ，被认为是感染源。给予静脉抗生素和皮质类固醇治疗。患者行气管插管，并随后行气管切开术以建立明确的气道。他被收入重症监护病房，当病情改善后，转至病房以完全康复。患者总共住院 66 天后出院。本病例提示，昆虫叮咬可引起路德维希咽峡炎。然而，需要进一步记录类似病例以探讨这一理论。
