Ludwig's Angina with Evolution to Necrotizing Mediastinitis and Aorta Rupture Following to Death in a 23 Years-Old Woman
Cecy de Fátima Amiti Fabri *
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Sávio Luquetti Silva Vieira
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Paulo Tinoco
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Marina Bandoli de Oliveira Tinoco
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Júlia Abreu Rezende
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Thayane de Matos Guimarães
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Fábio França Vieira e Silva
Santiago de Compostela Health Research Institute (FIDIS), Santiago de Compostela, Spain.
Louise Mancen Freire
Hospital São José do Avaí, Iguaçu University, Itaperuna, Brazil.
Renato Mataveli Ferreira Filho
Uni Redentor University, Itaperuna, Brazil.
Antonio Neres Norberg
São Carlos Metropolitan School, Bom Jesus do Itabapoana, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Ludwig's Angina is a rapidly progressing acute infectious process affecting the submandibular, sublingual, and submental spaces. If not promptly treated, it can be life-threatening and lead to sepsis and airway obstruction. Early detection, immediate and precise intervention including drainage, elimination of the causative factor, airway management, and antibiotic therapy are crucial for successful treatment. This manuscript presents a clinical case of Ludwig's Angina that evolved to mediastinitis and aorta rupture, resulting in a decease of a 23 years-old woman, despite treatment efforts.
Keywords: Ludwig's angina, mediastinitis, aorta rupture, odontogenic infection