Aetiology of Ludwig’s Angina: A Hospital Based Study

Abstract

Introduction: Ludwig’s angina is potentially life-threatening spreading cellulites of neck with high level of morbidity and mortality. Dental caries and diabetes mellitus are most common aetiological factor for Ludwig’s angina. Bad oral hygiene and poor socioeconomic condition are also responsible for this grave disease. This disease was frequently fatal; mortality rates for Ludwig’s angina exceeded 50% in the pre antibiotic era; however, antibiotics and aggressive surgical intervention have significantly reduced mortality recent series quote mortalities of 0-10%. Objectives: To find out the aetiology of patient’s of Ludwig’s angina.
 Materials and Methods: This cross sectional descriptive study was conducted among 89 patients admitted in the Department of ENT and Head-Neck Surgery in Dhaka Medical College Hospital from 01.07.2010 to 30.06.2012. Patients were selected by specified inclusion and exclusion criteria. Data were collected in a structured questionnaire and analysed by SPSS 16.0 for Windows.
 Results: Among 89 patients about 69% were from rural area and55% from poor socio-economic class. Sixty-four patients (74.2%) suffered from dental caries and 15.7% were diabetic.
 Conclusion: Study shows some factors like dental caries, bad oral hygiene, oral mucosal infections, diabetes mellitus were associated with Ludwig’s angina, which may be preventable and curable by early diagnosis and intervention. The public awareness regarding aetiology of Ludwig’s angina may contribute great role in reduction of this disease prevalence.
 Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 81-83

A hospital based observational study to evaluate the common etiological factor related to small bowel obstruction in adult patients

“…Abdominal pain was present in 97 patients, vomiting in 77 patients, tenderness in 90 patients, absolute constipation in 85 patients, abdominal distension in 92 patients, rebound tenderness in 52 patients, significant finding on per rectal examination in 8 patients, absent/decreased bowel sound in 34 patients, increased bowel sound in 65 patients and palpable mass and swelling was present in 24 patients. Similar findings were reported by a number of studies [15,16] . Out of 100 patients, Adhesions were present in 18 patients, Hernias in 20 patients, Malignancy in 10 patients, intestinal volvulus in 5 patients, diverticulum in 2 patients, strictures in 6 patients, intestinal tuberculosis in 10 patients, fecal impaction in 3 patients and superior mesenteric artery syndrome in 3 patients.…”

Surgical management of acute intestinal obstruction study of 50 cases operated in emergency

“…The mortality rate in the present study is much comparable to study by Ramachandran et al which was 12.7% but it is more when compared to Adhikari et al (7.35%), Jahangir et al studies (7%). 7,8,10…”