TY - JOUR
T1 - Ludwig's angina
T2 - An alarming radiology challenge
AU - Gunawan, Feredy
AU - Ferriastuti, Widiana
N1 - Publisher Copyright:
© 2022
PY - 2022/9
Y1 - 2022/9
N2 - Ludwig's angina is a cellulitis that affects the submandibular, sublingual, and submental regions, fast-spreading along the fascial plane. Ludwig's angina has been classified as a fast-moving, frequently fatal gangrenous cellulitis or necrotizing fasciitis of the neck and mouth floor over the previous 2 centuries. A 60-years old male patient came with a chief complaint of swelling and pain in the neck that radiated to the chest with fever, headache, nausea, and history of toothache, poor oral hygiene, and diabetes mellitus. Ludwig's angina with mediastinitis complication was established by a computed tomography (CT) scan, which was promptly treated and he recovered completely. Imaging is used as one of the tools to help physicians diagnose Ludwig's angina. A trained, multidisciplinary team is required for the treatment of Ludwig's angina because it involves surgical and antibiotic treatment and also resuscitation. A more accurate and timely diagnosis can lead to a better prognosis. In an emergency, a CT scan may be the best imaging choice, although magnetic resonance imaging is superior to a CT scan since it evaluates soft tissue and compartment involvement better.
AB - Ludwig's angina is a cellulitis that affects the submandibular, sublingual, and submental regions, fast-spreading along the fascial plane. Ludwig's angina has been classified as a fast-moving, frequently fatal gangrenous cellulitis or necrotizing fasciitis of the neck and mouth floor over the previous 2 centuries. A 60-years old male patient came with a chief complaint of swelling and pain in the neck that radiated to the chest with fever, headache, nausea, and history of toothache, poor oral hygiene, and diabetes mellitus. Ludwig's angina with mediastinitis complication was established by a computed tomography (CT) scan, which was promptly treated and he recovered completely. Imaging is used as one of the tools to help physicians diagnose Ludwig's angina. A trained, multidisciplinary team is required for the treatment of Ludwig's angina because it involves surgical and antibiotic treatment and also resuscitation. A more accurate and timely diagnosis can lead to a better prognosis. In an emergency, a CT scan may be the best imaging choice, although magnetic resonance imaging is superior to a CT scan since it evaluates soft tissue and compartment involvement better.
KW - Abscess
KW - CT scan
KW - Cellulitis
KW - Ludwig's angina
UR - http://www.scopus.com/inward/record.url?scp=85132859891&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2022.05.085
DO - 10.1016/j.radcr.2022.05.085
M3 - Article
AN - SCOPUS:85132859891
SN - 1930-0433
VL - 17
SP - 3103
EP - 3106
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 9
ER -