PDF(Pubmed)
Abstract：
UNASSIGNED: Ludwig\'s angina is a type of severe cellulitis that spreads rapidly and carries a significant risk of airway compromise. Previous complications with COVID-19 are poorly described within the literature.
UNASSIGNED: This case report describes the complication of COVID-19 infection with suspected Ludwig\'s angina 2 days after admission, resulting in awake fibroscopic endotracheal intubation. Emergent treatment and establishing a secure airway are paramount in these cases. We discuss the role of antibiotics and adjunct treatment in these cases of potential airway compromise.
UNASSIGNED: Limited data demonstrate simultaneous infection of COVID-19 with these types of submandibular soft tissue infections in the literature. Previous explorations into this subject are limited, as COVID-19 is a relatively new condition with its own treatment guidelines. We discuss specifically the role of corticosteroid use and surgical intervention in these cases. We wish to highlight awareness and treatment considerations for COVID-19 patients with superimposed Ludwig\'s angina.
UNASSIGNED: This case report describes the complication of COVID-19 infection with suspected Ludwig\'s angina 2 days after admission, resulting in awake fibroscopic endotracheal intubation. Emergent treatment and establishing a secure airway are paramount in these cases. We discuss the role of antibiotics and adjunct treatment in these cases of potential airway compromise.
UNASSIGNED: Limited data demonstrate simultaneous infection of COVID-19 with these types of submandibular soft tissue infections in the literature. Previous explorations into this subject are limited, as COVID-19 is a relatively new condition with its own treatment guidelines. We discuss specifically the role of corticosteroid use and surgical intervention in these cases. We wish to highlight awareness and treatment considerations for COVID-19 patients with superimposed Ludwig\'s angina.
摘要：
■路德维希的心绞痛是一种严重的蜂窝织炎，传播迅速，并具有严重的气道受损风险。文献中对COVID-19以前的并发症描述甚少。
本病例报告描述了入院2天后COVID-19感染疑似路德维希心绞痛的并发症，导致清醒的纤维镜下气管插管。在这些情况下，紧急治疗和建立安全的气道至关重要。我们讨论了抗生素和辅助治疗在这些潜在气道受损病例中的作用。
■有限的数据表明，文献中这些类型的颌下软组织感染同时感染了COVID-19。以前对这个主题的探索是有限的，因为COVID-19是一种相对较新的疾病，有自己的治疗指南。我们特别讨论了在这些情况下使用皮质类固醇和手术干预的作用。我们希望强调对COVID-19合并路德维希心绞痛患者的认识和治疗注意事项。
本病例报告描述了入院2天后COVID-19感染疑似路德维希心绞痛的并发症，导致清醒的纤维镜下气管插管。在这些情况下，紧急治疗和建立安全的气道至关重要。我们讨论了抗生素和辅助治疗在这些潜在气道受损病例中的作用。
■有限的数据表明，文献中这些类型的颌下软组织感染同时感染了COVID-19。以前对这个主题的探索是有限的，因为COVID-19是一种相对较新的疾病，有自己的治疗指南。我们特别讨论了在这些情况下使用皮质类固醇和手术干预的作用。我们希望强调对COVID-19合并路德维希心绞痛患者的认识和治疗注意事项。
