Had a stormy post-operative course with two incidents of peri-arrest due to blocked tracheostomy. These two incidents caused significant anxiety and distress for the child, for which he received psychology input. Decannulation done day 5 postop, discharged home on post-op day 10, with a course oral antibiotics. Conclusions The present case describes a typical but severe case of Ludwig's angina in a relatively atypical age group. This is a life -threatening condition, which requires early intervention along with a multidisciplinary team input. While relatively uncommon in the paediatric population, clinicians should be aware and understand the urgency of immediate treatment when it does present.
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