Ludwig’s Angina: a study of 50 cases

Abstract

Dental infection was documented as the most common cause (70%) of Ludwig's angina, followed by infection of the tonsils (10%) and submandibular gland (6%). Systemic illnesses included diabetes mellitus (30%) and chronic renal failure (4%).Streptococcus is commonest organism found in

Aetiology of Ludwig’s Angina: A Hospital Based Study

“…However, our findings are consistent with earlier reports showing male adults preponderance with sporadic incidents in children 11,12,14 . Here male to female ratio was 4:56:1, which was nearly consistent to the previous studies in our country as 2:57:1 by Fakir et al 15 Ludwig's angina can arise from various sources such as odontogenic infection 2 or complicated cases of submandibular 3 gland sialadenitis and sialolithisasis, tongue base lymphangioma, and tongue piercing 12,15,17, but several studies report our finding that there is usually a dental focus of infection 2,14 . We found 64(74.2%) patients were suffered from dental carious which simulated of the previous study by Fakir et al 15 .…”

Ludwig’s angina: analysis of clinical features and their management strategy: a study of 30 patients

“…Patients of poor socioeconomic status comprised 70% in a study of 50 cases of Ludwig's angina. 15 In the present study, most of patients were from rural background. The largest group consisted of patients in 21 to 30 years of age.…”

“…A study done by Fakir et al on 50 cases of Ludwig's angina showed neck swelling, pain in neck and fever in 100% cases, whereas dysphagia was present in 80%. 15 In another study done by V Sharma fever and neck swelling was present in 100% cases, halitosis was present in 68% cases, difficulty in swallowing was present in 63.8% of cases, hoarseness of voice was present in 61.7% cases. Trismus was present in 36.2% of cases and respiratory difficulty in 8.5% of cases.…”

“…In the study done by Fakir et al, out of 32 samples, most common organism was streptococcus (13 cases) followed by staphylococcus (6 cases) E. coli (4 cases) and Pseudomonas ( 3 cases). 15 In the study done in Nepal, most common isolate was staph aureus (46.1%) followed by streptococcus (15.4%). 17 In our study 16 samples showed bacterial growth.…”

“…In another study done in Dhaka, out of 50 cases, 40 (80%) had to be drained surgically, while only 10 cases could be treated medically, the reason for surgical drainage again being abscess formation and airway compromise. 15 Out of 21 patients, incision and drainage was done in 3 cases when abscess had formed after giving medical treatment, so as to drain the pus and to prevent it causing airway compromise and other complications. The history of long duration of swelling and associated comorbidities seem to be predisposing factor for abscess formation.…”