Ludwig's Angina in a 6‐Year‐Old Child: Case Report

ABSTRACT Ludwig's angina is a rare but potentially fatal cellulitis that affects the submandibular, sublingual, and submental spaces, typically triggered by dental infections. This case report details a severe presentation of Ludwig's angina in a 6‐year‐old girl who presented with submandi...

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Main Authors: Negarin Akbari, Ali Razavi, Zahra Sabzi, Jabbar Parhiz
Format: Article
Language:English
Published: Wiley 2025-08-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.70769
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author Negarin Akbari
Ali Razavi
Zahra Sabzi
Jabbar Parhiz
author_facet Negarin Akbari
Ali Razavi
Zahra Sabzi
Jabbar Parhiz
author_sort Negarin Akbari
collection DOAJ
description ABSTRACT Ludwig's angina is a rare but potentially fatal cellulitis that affects the submandibular, sublingual, and submental spaces, typically triggered by dental infections. This case report details a severe presentation of Ludwig's angina in a 6‐year‐old girl who presented with submandibular swelling, fever, voice alterations, and respiratory distress. Diagnosis was based on clinical evaluation, supported by CT imaging, revealing significant airway narrowing and lymphadenopathy. The patient was promptly intubated to secure the airway, followed by emergency surgical drainage and intravenous antibiotics. Postoperative care included sedation, ongoing monitoring in the PICU, and close follow‐up by multiple specialties. After a 10‐day hospitalization, the patient showed significant recovery with no complications. The case underscores the importance of early diagnosis and intervention in preventing severe complications such as airway obstruction, sepsis, and mediastinal spread. It highlights the critical role of interdisciplinary collaboration, including pediatric infectious disease specialists, surgeons, and anesthesiologists, in managing this life‐threatening condition effectively.
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spelling doaj-art-e38ddced1bad433e9be7254fe2e28a6e2025-08-22T07:33:08ZengWileyClinical Case Reports2050-09042025-08-01138n/an/a10.1002/ccr3.70769Ludwig's Angina in a 6‐Year‐Old Child: Case ReportNegarin Akbari0Ali Razavi1Zahra Sabzi2Jabbar Parhiz3Department of Nursing, Faculty of Health Sciences Fenerbahce University Istanbul TurkeyPediatrics Resident, Gorgan Medical School Golestan University of Medical Sciences Gorgan IranFaculty Member, Nursing Research Center Golestan University of Medical Sciences Gorgan IranDepartment of Pediatrics, School of Medicine, Neonatal and Children's Health Research Center Golestan University of Medical Sciences Gorgan IranABSTRACT Ludwig's angina is a rare but potentially fatal cellulitis that affects the submandibular, sublingual, and submental spaces, typically triggered by dental infections. This case report details a severe presentation of Ludwig's angina in a 6‐year‐old girl who presented with submandibular swelling, fever, voice alterations, and respiratory distress. Diagnosis was based on clinical evaluation, supported by CT imaging, revealing significant airway narrowing and lymphadenopathy. The patient was promptly intubated to secure the airway, followed by emergency surgical drainage and intravenous antibiotics. Postoperative care included sedation, ongoing monitoring in the PICU, and close follow‐up by multiple specialties. After a 10‐day hospitalization, the patient showed significant recovery with no complications. The case underscores the importance of early diagnosis and intervention in preventing severe complications such as airway obstruction, sepsis, and mediastinal spread. It highlights the critical role of interdisciplinary collaboration, including pediatric infectious disease specialists, surgeons, and anesthesiologists, in managing this life‐threatening condition effectively.https://doi.org/10.1002/ccr3.70769antibiotic therapycase reportchildLudwig's anginasubmandibular gland
spellingShingle Negarin Akbari
Ali Razavi
Zahra Sabzi
Jabbar Parhiz
Ludwig's Angina in a 6‐Year‐Old Child: Case Report
Clinical Case Reports
antibiotic therapy
case report
child
Ludwig's angina
submandibular gland
title Ludwig's Angina in a 6‐Year‐Old Child: Case Report
title_full Ludwig's Angina in a 6‐Year‐Old Child: Case Report
title_fullStr Ludwig's Angina in a 6‐Year‐Old Child: Case Report
title_full_unstemmed Ludwig's Angina in a 6‐Year‐Old Child: Case Report
title_short Ludwig's Angina in a 6‐Year‐Old Child: Case Report
title_sort ludwig s angina in a 6 year old child case report
topic antibiotic therapy
case report
child
Ludwig's angina
submandibular gland
url https://doi.org/10.1002/ccr3.70769
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AT jabbarparhiz ludwigsanginaina6yearoldchildcasereport