LUDWIGʼS ANGINA CAUSED BY HAEMOPHILUS INFLUENZAS TYPE b

Shaw, Kathy N.; Marshall, Gary S.; Tom, Lawrence W. C.; Kovacs, Stephen J.

doi:10.1097/00006454-198803000-00015

Cited by 4 publications

(1 citation statement)

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“…In addition to the case described here, three other cases of paediatric LA caused by Haemophilus influenzae were identified, including a previously healthy five year-old child who presented in respiratory failure due to a severe upper respiratory tract infection and Haemophilus influenzae B (HiB) bacteraemia [16]. Similarly, a four year-old previously well boy had positive blood cultures for HiB [14] and a fourteen year-old girl with poorly controlled diabetes had a mixed bacterial isolate including Haemophilus influenzae from a deep wound swab [15].…”

Section: Six Patients Had a Gram-negative Bacterial Infection Caused mentioning

confidence: 99%

Ludwig?s Angina: Paediatric Case Report and Literature Review

Brotherton¹,

Templeton²

2014

Intern Med

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Ludwig's Angina (LA) is an uncommon but potentially fatal cellulitis of the submandibular space, complicated by contiguous spread of infection within the respiratory tract and acute airway obstruction. A 13 month-old female developed LA following upper respiratory tract infection with Parainfluenza-3 virus. There was rapid deterioration due to acute airway obstruction and emergency endoctracheal intubation was necessary. A literature review identified thirty-five paediatric cases of LA with a 14% mortality rate. It occurs predominantly in immunocompetent children with an odontogenic source of infection in a third and unknown source of infection in a third of cases. This is the first reported case of a child with preceding respiratory viral infection who developed LA and it is proposed that respiratory viruses may play a previously unrecognized role in the aetiology of Ludwig's angina in children.

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Section: Six Patients Had a Gram-negative Bacterial Infection Caused mentioning

confidence: 99%