Ludwig's angina and mediastinitis due to Streptococcus milleri: usefulness of computed tomography.
Despite intensive use of antibiotics, Ludwig's angina remains a potentially lethal infection because of the risk of upper airway obstruction and spread into the mediastinum. We present two patients who survived mediastinitis complicating Ludwig's angina due to Streptococcus milleri. Computed tomography performed early in the course of the disease detected pus collections and directed appropriate drainage procedures.
van der Brempt
X
X
Dept of Internal Medicine, Hôpital de Jolimont, Haine-Saint-Paul, Belgium.
Derue
G
G
Severin
F
F
Colin
L
L
Gilbeau
J P
JP
Heller
F
F
D000038:Abscess / Q000209:etiology; D000293:Adolescent; D003731:Dental Caries / Q000150:complications; D005260:Female; D006801:Humans; D008158:Ludwig's Angina / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008336:Mandibular Diseases / Q000209:etiology; D008480:Mediastinitis / Q000000981:diagnostic imaging* / Q000209:etiology; D008875:Middle Aged; D013290:Streptococcal Infections / Q000000981:diagnostic imaging*; D013291:Streptococcus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed