%0 Journal Article
%T Mediastinitis Complicated by Ludwig’s Angina Secondary to Alveolodental Abscess
%A Emanuel da Cruz
%A Amarildo Nogueira
%A Indira Eduardo
%A Filipe da Silva
%A Stephany Lukeni Silva
%J Case Reports in Clinical Medicine
%P 218-225
%@ 2325-7083
%D 2025
%I Scientific Research Publishing
%R 10.4236/crcm.2025.144029
%X The objective of this study is to describe a case report of Ludwig’s angina of odontogenic origin, which evolved with airway obstruction requiring emergency tracheostomy. A 16-year-old adolescent was admitted with Ludwig’s angina complicated with mediastinitis, confirmed by contrast computed tomography. Antibiotic therapy and surgical drainage were instituted, but 2 days later she was admitted to the intensive care unit due to hemodynamic instability. She also evolved with airway obstruction, and emergency tracheostomy was performed. A new computed tomography scan of the cervicothoracic region was performed, which showed collections in the neck and mediastinum, with new extensive drainage and minimal thoracotomy and antibiotic escalation. She had a satisfactory clinical evolution and was discharged without sequelae after 11 days.
%K Ludwig&#8217
%K s Angina
%K Mediastinitis
%K Tracheostomy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=142353