A rare cause of Ludwig's angina by Morganella morganii.
Ludwig's angina is a rapidly spreading and potentially lethal infection involving the floor of the mouth and neck. We present a rare case of Ludwig's angina caused by an unusual microorganism, Morganella morganii, and the group D alpha-hemolytic streptococcus. To our knowledge, this is the first case of Ludwig's angina and deep neck infection caused by Morganella morganii. Adequate airway maintenance, appropriate use of antibiotics and surgical drainage resulted in survival of the patient without complications.
Department of Emergency Medicine, Far Eastern Memorial Hospital, 21 Nan-Ya South Road, Sec. 2, Panchiao, Taipei 220, Taiwan.
Min-Po
MP
Ho
Kuang-Chau
KC
Tsai
Szu-Lin
SL
Yen
Cheng-Lin
CL
Lu
Chia-Hung
CH
Chen
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008158:Ludwig's Angina / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D008297:Male; D020613:Morganella morganii / Q000302:isolation & purification*; D009060:Mouth Floor / Q000473:pathology; D009333:Neck / Q000473:pathology; D014059:Tongue / Q000473:pathology
D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin