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May 20, 2026American Journal of Respiratory and Critical Care Medicine

A102-05 Airway to Mediastinum: Ludwig’s Angina Complicated by Descending Necrotizing Mediastinitis

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Authors

IAI M Sanchez AcostaSMS MustafaJGJ S Bautista Garzon

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Overview

Case report reveals airway compromise due to Ludwig's angina with mediastinal spread, highlighting urgent intervention needs.

Key Points

  • This report examines the case of a patient with Ludwig’s angina that progressed to descending necrotizing mediastinitis, emphasizing the critical nature of airway management.
  • Case presentation of a 28-year-old woman with right mandibular pain, facial swelling, and febrile symptoms.
  • Involvement of multidisciplinary teams for airway management and urgent surgical intervention.
  • Use of imaging and treatment with IV antibiotics and steroids.
  • Patient developed trismus and worsening symptoms indicating airway compromise, leading to urgent surgical intervention.
  • Fiberoptic intubation was utilized for airway management before surgical drainage.
  • Successful extubation occurred two days post-procedure with discharge following additional medical management.

Cite This Study

Acosta et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5098f03e14405aa9c81bhttps://doi.org/10.1093/ajrccm/aamag162.4220
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1C43-53 Ludwig’s Angina Presenting as Pericarditis2026
  2. 2Rapidly progressive Ludwig’s angina following self-extraction of a tooth with a nail: a Cannot-Intubate Possible-to-Ventilate scenario managed with LMA bridge to surgical tracheostomy — a case report2026
  3. 3Repeated Perioperative Airway Management in Odontogenic Deep Neck Space Infection Managed Clinically as Ludwig’s Angina: An Anaesthesia- and Intensive Care Unit-Focused Case Report2026
  4. 4Anaesthesia Management in a Case of Ludwig’s Angina With Difficult Airway Managed by Emergency Tracheostomy2024
  5. 5Therapeutic and Clinical Traits of Ludwig’s Angina: A 10-year retrospective study of 24 patients2024