Abukar Abdullahi Abdiaziz, Woldemichael Mihret Adane, Vargas Escalante Elizabeth, Agaba Brian, Duranones Rosales Yanurkis
Department of Ear, Nose & Throat, Kampala International University-Teaching Hospital, Bushenyi, Uganda.
Department of Oral and Maxillofacial Surgery, Kampala International University-Teaching Hospital, Bushenyi, Uganda.
Int Med Case Rep J. 2024 Dec 17;17:1029-1035. doi: 10.2147/IMCRJ.S488135. eCollection 2024.
Ludwig's angina is a potentially fatal condition characterized by a rapid onset of cellulitis that bilaterally involves the submandibular, sublingual, and submental spaces. This report describes the case of a 29-year-old female who presented to us with Ludwig's angina following a tooth extraction performed by a traditional healer in Southwestern Uganda. The patient stayed home for over a week before she could seek formal treatment, and this delay led to severe infection and necrotizing fasciitis with extensive tissue necrosis. Despite multiple in-hospital interventions which included incision, drainage, and debridement, the patient succumbed to complications such as secondary lung infection, septicemia, and disseminated intravascular coagulation (DIC). This case report highlights the importance of timely medical intervention, socioeconomic barriers, and antibiotic resistance challenges.
路德维希咽峡炎是一种潜在的致命疾病，其特征为蜂窝织炎迅速发作，双侧累及下颌下间隙、舌下间隙和颏下间隙。本报告描述了一名29岁女性的病例，该患者在乌干达西南部由一名传统治疗师拔牙后出现路德维希咽峡炎。患者在家中呆了一周多后才寻求正规治疗，这种延误导致了严重感染和坏死性筋膜炎，并伴有广泛的组织坏死。尽管进行了多次住院干预，包括切开、引流和清创，但患者仍死于继发性肺部感染、败血症和弥散性血管内凝血（DIC）等并发症。本病例报告强调了及时医疗干预、社会经济障碍和抗生素耐药性挑战的重要性。
