Treatment of Mediastinitis and Ludwig's Angina: Case Report
DOI:
https://doi.org/10.21270/archi.v13i8.6335Keywords:
Ludwig's Angina, Mediastinitis, Hospital CareAbstract
Ludwig's angina is a severe infectious process, mostly odontogenic, of rapid evolution, which affects the submandibular, sublingual, and bilateral submental spaces, and may progress to a complication known as mediastinitis, a pathology with high mortality rates, more prevalent in men. For the treatment of serious infections, it is important to drain the purulent collection, remove the infectious focus, and administer antibiotic therapy. The objective is to report a case of Ludwig's Angina with progression to mediastinitis of a male patient, 42 years old, evaluated by the Oral and Maxillofacial Surgery and Traumatology team FOA-UNESP in a hospital emergency room with a history of dental treatment in element 38 years ago. three days. The patient underwent a surgical approach for drainage, removal of element 38, and installation of Penrose drains under general anesthesia. After two days, the patient developed chest pain and decreased saturation. After evaluating the chest tomography in conjunction with the medical clinic and the thoracic surgery team, it was observed that the patient had progressed to mediastinitis, requiring chest drainage in the operating room. The multidisciplinary follow-up was maintained until the complete resolution of the patient's condition. Therefore, odontogenic infections and other infectious foci in the cervical region must be meticulously managed and monitored, and in cases of complications, it is important to consider an interdisciplinary approach.
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