A 58-YO, toothache: swelling in the neck, sore throat, chills, chest pain; oral cavity indurated & woody, neck adenopathy; erythema spreading from his neck down over his anterior chest wall (A & B)
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#MedEd #IDtwitter #dermatology #MedTwitter
DOI: 10.1056/NEJMicm065036
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#MedEd #IDtwitter #dermatology #MedTwitter
DOI: 10.1056/NEJMicm065036
LUDWING´S ANGINA is an infectious process involving the submental, sublingual, and submandibular spaces.
It can rapidly progress to hemodynamic instability and airway obstruction; in rare cases, it spreads into the mediastinum.
2/4
#Doctor #MedStudentTwitter #resident
It can rapidly progress to hemodynamic instability and airway obstruction; in rare cases, it spreads into the mediastinum.
2/4
#Doctor #MedStudentTwitter #resident
Compromise of the airway can progress rapidly, with lethal consequences; therefore, immediate consideration should be given to surgical débridement of the infected areas and antimicrobial therapy.
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#medicine #MedicalStudents #microbiology #surgery
The patient was admitted and underwent extensive surgical débridement.
He recovered after a stay in the intensive care unit.
4/4
#emergency #criticalcare
He recovered after a stay in the intensive care unit.
4/4
#emergency #criticalcare
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