Severe life threatening maxillofacial infection in pregnancy presented as Ludwig's angina.
BACKGROUND
Ludwig's angina is a rapidly spreading cellulitis that may produce upper airway obstruction often leading to death. There is very little published information regarding this condition in the pregnant patient.


METHODS
A 24-year old black female was admitted at 26 weeks gestation with tooth pain, submandibular swelling, severe trismus, and dysphagea, consistent with Ludwig's angina. Her treatment included emergent tracheostomy, incision and drainage of associated spaces, teeth extraction, and antibiotic therapy.


CONCLUSIONS
During a life threatening infectious situation such as the one described, risks of maternal and fetal morbidity include both septicemia and asphyxia. Furthermore, the healthcare provider must consider the risks that the condition and the possible treatments may cause the mother and her unborn child.
Abramowicz
Shelly
S
Department of Oral and Maxillofacial Surgery, University of Florida School of Dentistry, Gainesville, FL 32610, USA.
Abramowicz
Jacques S
JS
Dolwick
M Franklin
MF
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D005260:Female; D006801:Humans; D008158:Ludwig's Angina / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D013364:Submandibular Gland Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D014081:Tooth Extraction; D014139:Tracheostomy
D000900:Anti-Bacterial Agents