Case report reveals a rare instance of Ludwig’s angina starting as pericarditis, highlighting intervention importance.
Key Points
This case aims to illustrate the rare presentation of Ludwig’s angina as pericarditis and its rapid progression to descending necrotizing mediastinitis.
Patient presented with neck swelling and pericardial symptoms after mandibular fractures.
CT imaging revealed phlegmonous inflammation and fluid collections in the neck and mediastinum.
Emergent surgical interventions included incision and drainage of abscesses and chest tube placement.
Initial presentation of pericarditis led to complications including lung collapse and descending necrotizing mediastinitis.
Multidisciplinary management including timely airway management and surgical drainage significantly improved the patient's condition.
Patient discharged in stable condition after successful drainage procedures and antibiotic therapy.