Odontogenic infections: severe complications associated with diabetes mellitus

Detalhes bibliográficos
Autor(a) principal: Freddo, Angelo Luiz
Data de Publicação: 2013
Outros Autores: Gomes, Fernando Vacilotto, Martins, Carlos Alberto Medeiros, Fritscher, Guilherme Genehr, Torriani, Marcos Antonio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista odonto ciência (Online)
Texto Completo: https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12554
Resumo: Objective: Ludwig’s angina is a severe form of diffuse cellulitis occurring in the cervicofacial region, with aggressive characteristics that systemically affect the patient and can lead to death. Disease severity is due to the formation of extensive laryngeal cellulitis, which evolves to edema of the glottis and consequently acute respiratory obstruction. The rapid progression of infection and the establishment of a severe general medical condition requires fast diagnosis and adequate management in order to improve prognosis. Case Report: This paper describes two cases of Ludwig’s angina in patients with diabetes mellitus treated at public hospitals in southern Brazil, with a focus on clinical characteristics, disease evolution, and treatment. Conclusion: Depending on the patient’s systemic conditions and the kind of established treatment, it may guide the diseased prognosis. One of the patients had a favorable outcome, whereas the other developed mediastinitis and died.
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spelling Odontogenic infections: severe complications associated with diabetes mellitusInfecções odontogênicas: complicações severas associadas à diabetes mellitusLudwig’s anginasoft tissue infectionscellulitisdiabetes mellitusmediastinitisAngina de Ludwiginfecções dos tecidos molescelulitediabetes mellitusmediastiniteInfecções da cavidade bucalObjective: Ludwig’s angina is a severe form of diffuse cellulitis occurring in the cervicofacial region, with aggressive characteristics that systemically affect the patient and can lead to death. Disease severity is due to the formation of extensive laryngeal cellulitis, which evolves to edema of the glottis and consequently acute respiratory obstruction. The rapid progression of infection and the establishment of a severe general medical condition requires fast diagnosis and adequate management in order to improve prognosis. Case Report: This paper describes two cases of Ludwig’s angina in patients with diabetes mellitus treated at public hospitals in southern Brazil, with a focus on clinical characteristics, disease evolution, and treatment. Conclusion: Depending on the patient’s systemic conditions and the kind of established treatment, it may guide the diseased prognosis. One of the patients had a favorable outcome, whereas the other developed mediastinitis and died.Objetivo: A angina de Ludwig é uma das formas mais graves de celulite difusa da região cervicofacial, apresentando características agressivas que comprometem sistemicamente o paciente, podendo levá-lo ao óbito. Isso ocorre devido à intensa celulite na região de laringe, podendo evoluir para um edema de glote, com consequente obstrução respiratória aguda. Sua disseminação ainda pode ter um trajeto descendente envolvendo estruturas torácicas, caracterizando uma mediastinite. Esta agressividade na evolução do processo infeccioso e no estabelecimento de uma condição geral grave exige um diagnóstico rápido e uma conduta adequada visando favorecer o prognóstico. Relato de Caso: Este trabalho apresenta dois casos de Angina de Ludwig, em pacientes com Diabetes Melittus, atendidos em dois hospitais do Rio Grande do Sul, Brasil, analisando as características clínicas, bem como a evolução da doença e a terapêutica utilizada para cada caso. Conclusão: Dependendo da condição clínica do paciente, assim como, do tratamento de escolha utilizado, favorecerá ou não o prognóstico do paciente. Verificou-se um resultado favorável com a cura do paciente e o outro evoluiu para medistinite e óbito.EDIPUCRS - Editora Universitária da PUCRS2013-02-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Article--application/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12554Revista Odonto Ciência; Vol. 28 No. 4 (2013); 110-115Revista Odonto Ciência; v. 28 n. 4 (2013); 110-1151980-65230102-9460reponame:Revista odonto ciência (Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12554/11871Freddo, Angelo LuizGomes, Fernando VacilottoMartins, Carlos Alberto MedeirosFritscher, Guilherme GenehrTorriani, Marcos Antonioinfo:eu-repo/semantics/openAccess2014-09-19T18:31:07Zoai:ojs.revistaseletronicas.pucrs.br:article/12554Revistahttps://revistaseletronicas.pucrs.br/ojs/index.php/foPRIhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/oai||odontociencia@pucrs.br1980-65230102-9460opendoar:2014-09-19T18:31:07Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Odontogenic infections: severe complications associated with diabetes mellitus
Infecções odontogênicas: complicações severas associadas à diabetes mellitus
title Odontogenic infections: severe complications associated with diabetes mellitus
spellingShingle Odontogenic infections: severe complications associated with diabetes mellitus
Freddo, Angelo Luiz
Ludwig’s angina
soft tissue infections
cellulitis
diabetes mellitus
mediastinitis
Angina de Ludwig
infecções dos tecidos moles
celulite
diabetes mellitus
mediastinite
Infecções da cavidade bucal
title_short Odontogenic infections: severe complications associated with diabetes mellitus
title_full Odontogenic infections: severe complications associated with diabetes mellitus
title_fullStr Odontogenic infections: severe complications associated with diabetes mellitus
title_full_unstemmed Odontogenic infections: severe complications associated with diabetes mellitus
title_sort Odontogenic infections: severe complications associated with diabetes mellitus
author Freddo, Angelo Luiz
author_facet Freddo, Angelo Luiz
Gomes, Fernando Vacilotto
Martins, Carlos Alberto Medeiros
Fritscher, Guilherme Genehr
Torriani, Marcos Antonio
author_role author
author2 Gomes, Fernando Vacilotto
Martins, Carlos Alberto Medeiros
Fritscher, Guilherme Genehr
Torriani, Marcos Antonio
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Freddo, Angelo Luiz
Gomes, Fernando Vacilotto
Martins, Carlos Alberto Medeiros
Fritscher, Guilherme Genehr
Torriani, Marcos Antonio
dc.subject.por.fl_str_mv Ludwig’s angina
soft tissue infections
cellulitis
diabetes mellitus
mediastinitis
Angina de Ludwig
infecções dos tecidos moles
celulite
diabetes mellitus
mediastinite
Infecções da cavidade bucal
topic Ludwig’s angina
soft tissue infections
cellulitis
diabetes mellitus
mediastinitis
Angina de Ludwig
infecções dos tecidos moles
celulite
diabetes mellitus
mediastinite
Infecções da cavidade bucal
description Objective: Ludwig’s angina is a severe form of diffuse cellulitis occurring in the cervicofacial region, with aggressive characteristics that systemically affect the patient and can lead to death. Disease severity is due to the formation of extensive laryngeal cellulitis, which evolves to edema of the glottis and consequently acute respiratory obstruction. The rapid progression of infection and the establishment of a severe general medical condition requires fast diagnosis and adequate management in order to improve prognosis. Case Report: This paper describes two cases of Ludwig’s angina in patients with diabetes mellitus treated at public hospitals in southern Brazil, with a focus on clinical characteristics, disease evolution, and treatment. Conclusion: Depending on the patient’s systemic conditions and the kind of established treatment, it may guide the diseased prognosis. One of the patients had a favorable outcome, whereas the other developed mediastinitis and died.
publishDate 2013
dc.date.none.fl_str_mv 2013-02-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
--
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12554
url https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12554
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12554/11871
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv EDIPUCRS - Editora Universitária da PUCRS
publisher.none.fl_str_mv EDIPUCRS - Editora Universitária da PUCRS
dc.source.none.fl_str_mv Revista Odonto Ciência; Vol. 28 No. 4 (2013); 110-115
Revista Odonto Ciência; v. 28 n. 4 (2013); 110-115
1980-6523
0102-9460
reponame:Revista odonto ciência (Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Revista odonto ciência (Online)
collection Revista odonto ciência (Online)
repository.name.fl_str_mv Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv ||odontociencia@pucrs.br
_version_ 1754820876422873088

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