title: Ludwig's angina and ketoacidosis as a first manifestation of diabetes mellitus.
abstract: Ludwig's angina is a serious and rapidly progressive infectious process that spreads through the floor of the mouth and neck. In this paper we present an infrequent case of a patient who suffered an odontogenic infection with poor response to the previous treatment, which evolved towards a Ludwig's angina combined with ketoacidosis in the context of a diabetes mellitus not known before. According to the literature reviewed, this case report represents the first contribution of a Ludwig's angina and ketoacidosis as an initial manifestation of a diabetes mellitus. The airway management, the antibiotic prescription and the surgical drainage allowed the healing of the patient without medical complications. Factors of co-morbidity like the diabetes mellitus together with focus tooth of infection may eventually turn into serious medical complications as the diabetic ketoacidosis and develop potentially lethal cervical infections.
authors.affiliation: Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario Virgen del Rocío, Av. Manuel Siurot, 41013-Sevilla, Spain. pinfante@us.es
authors.forename: Pedro
authors.initials: P
authors.lastname: Infante-Cossío
authors.forename: Esteban
authors.initials: E
authors.lastname: Fernández-Hinojosa
authors.forename: Miguel-Angel
authors.initials: MA
authors.lastname: Mangas-Cruz
authors.forename: Luis-Miguel
authors.initials: LM
authors.lastname: González-Pérez
mesh_terms: D000328:Adult; D048909:Diabetes Complications / Q000175:diagnosis; D006801:Humans; D007662:Ketosis / Q000209:etiology*; D008158:Ludwig's Angina / Q000209:etiology*; D008297:Male