Abstract

SALAZAR, I Herrera; SANCHEZ, A Seguel; BALARI, S Cardemil  and  IGLESIAS, L Parada. Ludwig`s angina, useful semiologic points for the presumptive diagnosis of a lethal pathology. Rev. argent. dermatol. [online]. 2022, vol.103, n.3, pp.41-50. ISSN 1851-300X.

This is a 74-year-old female patient with comorbidities who consulted the emergency service due to symptoms of sepsis of apparently unspecified origin, until her evaluation by dermatology revealed mild anterior cervical violaceous erythema and probable dental infection as the portal of entry. Based on clinical and imaging findings, a diagnosis of Ludwig's angina is confirmed, a condition with high morbidity and mortality that can progress to other more severe complications. Finally, the patient had a torpid evolution, not responding to support measures, and died. Ludwig's Angina is a cellulitis of etiology, usually rapidly progressive, infrequent oral infections, where a mandatory physical examination should be considered and suspected in order to start early therapy.

Keywords : Ludwig's angina; cellulitis; Submandibular space infections; mediastinitis; Oral cavity infection.

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