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Case No. 737
2025-11-01~2025-11-30
출제자 : 원소연
Hit : 494
| Period | 2025-11-01~2025-11-30 |
|---|---|
| Diagnosis | Ludwig angina |
| Gender |
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| Age | 61 |
| Clinical information | 61/M C.C: Fever, neck swelling Duration: 5days PHx; dental implant surgery |
| Discussion | Ludwig’s angina is a rapidly progressive and potentially fatal cellulitis involving the floor of the mouth and the submandibular space. It represents an aggressive infection that can spread quickly and cause airway compromise. The infection most often originates from an infected second or third mandibular molar and may extend into adjacent deep neck fascial spaces. Imaging findings: 1. Diffuse soft tissue swelling at the floor of the mouth with obliteration of normal fat planes in the submandibular space. 2. Presence of focal fluid collections within the deep fascial spaces of the neck. 3. Reactive enlargement of submandibular lymph nodes may also be observed. Reference: Marcus BJ,Kaplan J, Collins KA (2008) A case of Ludwig angina: a case report and review of the literature. Am J Forensic Med Pathol 29(3):255-259 (PMID: 18435993) Hurley MC, Heran MKS (2007) Imaging Studies for Head and Neck Infections. Infectious Disease Clinics of North America 21(2): 305-353 (PMID: 17561073) Vieira F, Allen S, Stocks R, Thompson J (2008) Deep neck infection. Otolaryngol Clin North Am 41:459-483 (PMID: 18435993) |
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