EdenteV2, Main, Exploration, bibRecord, 006B43

An Upper Airway Obstruction Emergency : Ludwig Angina

Identifieur interne : 006B43 ( Main/Exploration ); précédent : 006B42; suivant : 006B44

An Upper Airway Obstruction Emergency : Ludwig Angina

Auteurs : Yu-Kung Chou [Taïwan] ; Chao-Yi Lee [Taïwan] ; Hai-Hsuan Chao [Taïwan]

Source :

Pediatric emergency care [ 0749-5161 ] ; 2007.

RBID : Pascal:08-0062988

Descripteurs français

Pascal (Inist)
- Obstruction des voies respiratoires supérieures, Angine de Ludwig, Cellulite, Infection, Réanimation, Soin intensif, Enfant, Urgence, Cou.
Wicri :
- topic : Enfant.

English descriptors

KwdEn :
- Cellulitis, Child, Emergency, Infection, Intensive care, Ludwig angina, Neck, Resuscitation, Upper Airway Obstruction.

Abstract

Ludwig angina remains a potentially lethal disease, rapidly spreading bilateral cellulitis of the submental, sublingual, and submandibular spaces, which bears the threat for rapid airway obstruction. Since the introduction of antibiotics in 1940s, the mortality was reduced significantly. This resulted in the rare occurrence of the disease, leaving many physicians with limited experience of Ludwig angina. Although the occurrence of Ludwig angina in adults is rare, its presence in the pediatric edentulous population is even more uncommon. Because the unfamiliarity with this disease is now increasing, unnecessary delaying diagnosis or inadequate management may occur and may result in serious complications. This presentation will consist of a historical review, discussion of pathophysiology, followed by clinical presentation, etiology, bacteriology, and management. With early diagnosis, airway observation and management, aggressive intravenous antibiotic therapy, and judicious surgical intervention, the disease should resolve without complications. In addition, the source of infection should be determined and eliminated if possible. A thoughtful, individualized management strategy seems to be the most reasonable approach to the disease.

Affiliations:

Taïwan

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000399
to stream PascalFrancis, to step Curation: 000303
to stream PascalFrancis, to step Checkpoint: 000435
to stream Main, to step Merge: 006C54
to stream Main, to step Curation: 006B43

Le document en format XML

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<author><name sortKey="Chou, Yu Kung" sort="Chou, Yu Kung" uniqKey="Chou Y" first="Yu-Kung" last="Chou">Yu-Kung Chou</name>
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<country>Taïwan</country>
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<author><name sortKey="Lee, Chao Yi" sort="Lee, Chao Yi" uniqKey="Lee C" first="Chao-Yi" last="Lee">Chao-Yi Lee</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neotology, Kuang-Tien General Hospital</s1>
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<author><name sortKey="Chao, Hai Hsuan" sort="Chao, Hai Hsuan" uniqKey="Chao H" first="Hai-Hsuan" last="Chao">Hai-Hsuan Chao</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Pediatrics, Kuang-Tien General Hospital</s1>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">An Upper Airway Obstruction Emergency : Ludwig Angina</title>
<author><name sortKey="Chou, Yu Kung" sort="Chou, Yu Kung" uniqKey="Chou Y" first="Yu-Kung" last="Chou">Yu-Kung Chou</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Pediatrics, Kuang-Tien General Hospital</s1>
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<author><name sortKey="Chao, Hai Hsuan" sort="Chao, Hai Hsuan" uniqKey="Chao H" first="Hai-Hsuan" last="Chao">Hai-Hsuan Chao</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Pediatrics, Kuang-Tien General Hospital</s1>
<s2>Taichung</s2>
<s3>TWN</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
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<country>Taïwan</country>
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<series><title level="j" type="main">Pediatric emergency care</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cellulitis</term>
<term>Child</term>
<term>Emergency</term>
<term>Infection</term>
<term>Intensive care</term>
<term>Ludwig angina</term>
<term>Neck</term>
<term>Resuscitation</term>
<term>Upper Airway Obstruction</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Obstruction des voies respiratoires supérieures</term>
<term>Angine de Ludwig</term>
<term>Cellulite</term>
<term>Infection</term>
<term>Réanimation</term>
<term>Soin intensif</term>
<term>Enfant</term>
<term>Urgence</term>
<term>Cou</term>
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<front><div type="abstract" xml:lang="en">Ludwig angina remains a potentially lethal disease, rapidly spreading bilateral cellulitis of the submental, sublingual, and submandibular spaces, which bears the threat for rapid airway obstruction. Since the introduction of antibiotics in 1940s, the mortality was reduced significantly. This resulted in the rare occurrence of the disease, leaving many physicians with limited experience of Ludwig angina. Although the occurrence of Ludwig angina in adults is rare, its presence in the pediatric edentulous population is even more uncommon. Because the unfamiliarity with this disease is now increasing, unnecessary delaying diagnosis or inadequate management may occur and may result in serious complications. This presentation will consist of a historical review, discussion of pathophysiology, followed by clinical presentation, etiology, bacteriology, and management. With early diagnosis, airway observation and management, aggressive intravenous antibiotic therapy, and judicious surgical intervention, the disease should resolve without complications. In addition, the source of infection should be determined and eliminated if possible. A thoughtful, individualized management strategy seems to be the most reasonable approach to the disease.</div>
</front>
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<tree><country name="Taïwan"><noRegion><name sortKey="Chou, Yu Kung" sort="Chou, Yu Kung" uniqKey="Chou Y" first="Yu-Kung" last="Chou">Yu-Kung Chou</name>
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<name sortKey="Chao, Hai Hsuan" sort="Chao, Hai Hsuan" uniqKey="Chao H" first="Hai-Hsuan" last="Chao">Hai-Hsuan Chao</name>
<name sortKey="Lee, Chao Yi" sort="Lee, Chao Yi" uniqKey="Lee C" first="Chao-Yi" last="Lee">Chao-Yi Lee</name>
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An Upper Airway Obstruction Emergency : Ludwig Angina

An Upper Airway Obstruction Emergency : Ludwig Angina

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri