{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:02Z","timestamp":1787016902179,"version":"build-2736575974"},"reference-count":10,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,8,27]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Ludwig\u2019s angina (LA) is a rapidly progressing cellulitis that develops after oral infections or molar extractions, typically causing fever and chills and rarely progressing to trismus and cyanosis. It is associated with risk factors including diabetes mellitus, heavy alcohol use, oral malignancy, poor dentition or an immunocompromised state. This case report reviews a previously healthy patient with no appreciable risk factors presenting with LA following a third molar extraction, complicated by extensive anterior deep neck space abscesses, cavernous venous thrombosis and Lemierre\u2019s Syndrome. Our case demonstrates the importance of early intervention when suspecting LA to prevent life-threatening complications and death.<\/jats:p>","DOI":"10.1136\/bcr-2023-255938","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T11:40:32Z","timestamp":1693914032000},"page":"e255938","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Ludwig\u2019s angina, anterior neck abscess and cavernous venous thrombosis following third molar extraction"],"prefix":"10.1136","volume":"16","author":[{"given":"Sara","family":"Koussa","sequence":"first","affiliation":[{"name":"Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anusha","family":"Majagi","sequence":"additional","affiliation":[{"name":"Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA"},{"name":"Detroit Medical Center, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaylee","family":"Wang","sequence":"additional","affiliation":[{"name":"Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA"},{"name":"Detroit Medical Center, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupama","family":"Devara","sequence":"additional","affiliation":[{"name":"Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA"},{"name":"Detroit Medical Center, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,9,5]]},"reference":[{"key":"2025082713102692000_16.9.e255938.1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.oooo.2021.03.004","article-title":"Third molar surgery: past, present, and the future","volume":"132","author":"Sifuentes-Cervantes","year":"2021","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"},{"key":"2025082713102692000_16.9.e255938.2","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(52)90227-2"},{"key":"2025082713102692000_16.9.e255938.3","first-page":"639","article-title":"Submandibular Cellulitis (Ludwig's angina) associated to a complex Odontoma erupted into the oral cavity. case report and literature review","volume":"56","author":"Bertolai","year":"2007","journal-title":"Minerva Stomatol"},{"key":"2025082713102692000_16.9.e255938.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2010.08.004"},{"key":"2025082713102692000_16.9.e255938.5","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcz251"},{"key":"2025082713102692000_16.9.e255938.6","article-title":"A severe case of Ludwig\u2019s angina with a complicated clinical course","volume":"12","author":"Kovalev","year":"2020","journal-title":"Cureus"},{"key":"2025082713102692000_16.9.e255938.7","unstructured":"An J , Madeo J , Singhal SML . Ludwig angina. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2023."},{"key":"2025082713102692000_16.9.e255938.8","article-title":"Ludwig\u2019s angina","volume":"9","author":"Pak","year":"2017","journal-title":"Cureus"},{"key":"2025082713102692000_16.9.e255938.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"2025082713102692000_16.9.e255938.10","unstructured":"Chakraborty RK , Burns B . Systemic inflammatory response syndrome. In: StatPearls. 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