Fellow, Pediatric Infectious Diseases, Hasbro Children's Hospital/The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Attending Physician, Pediatric Infectious Diseases, Hasbro Children's Hospital; Assistant Professor of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
R I Med J (2013). 2024 Sep 1;107(9):7-9.
This case report illuminates an instance of Ludwig's Angina in a 16-year-old male patient with concurrent Influenza A. Ludwig's Angina, a potentially fatal, rapidly spreading cellulitis, primarily affects the submandibular and sublingual spaces. This case emphasizes the importance of early detection, immediate intervention, and multidisciplinary management to prevent life-threatening complications. The patient presented with fever, sore throat, swelling under the tongue and submandibular region, and difficulty breathing following a family trip to Puerto Rico. Despite initial respiratory distress and severe soft tissue swelling, the patient responded positively to broad-spectrum antibiotics, with clinical improvement leading to discharge after five days. The report discusses the challenges in diagnosing and managing Ludwig's Angina, the potential role of the patient's environment in disease presentation, and the relevance of historical medical literature in contemporary clinical practice. This case underscores the need for vigilance in patients with influenza for potential secondary bacterial complications and the necessity of expedited airway management in patients with Ludwig's Angina.
本病例报告阐述了一例 16 岁男性合并甲型流感的路德维希咽峡炎。路德维希咽峡炎是一种潜在致命的、迅速扩散的蜂窝织炎,主要影响下颌下和舌下间隙。本例强调了早期发现、立即干预和多学科管理以预防危及生命并发症的重要性。该患者在前往波多黎各的家庭旅行后出现发热、咽痛、舌下和下颌下区域肿胀以及呼吸困难。尽管最初存在呼吸窘迫和严重的软组织肿胀,但患者对广谱抗生素反应良好,临床改善后五天出院。报告讨论了诊断和管理路德维希咽峡炎的挑战、患者环境在疾病表现中的潜在作用以及历史医学文献在当代临床实践中的相关性。本病例强调了流感患者中潜在继发性细菌并发症的警惕性以及路德维希咽峡炎患者气道管理的紧迫性。