{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:10:11Z","timestamp":1756285811903,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,6]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Ludwig angina (LA) is a diagnosis made clinically when a patient with brawny oedema of the submandibular region and inflammatory oedema of the floor of mouth is encountered. This report describes a middle-aged man who developed progressive swelling of the submandibular region and neck. He had restricted mouth opening and pharyngolaryngeal oedema on examination. CT imaging revealed diffuse oedema in all neck compartments with airway narrowing. He improved after medical management with intravenous antibiotics and steroids. Even after thorough investigation, the source of infection remained unidentified. The case highlights the need to manage the airway in all cases clinically diagnosed with LA, and to keep in mind that it may occur in an otherwise healthy adult with no comorbidities.<\/jats:p>","DOI":"10.1136\/bcr-2024-263024","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T14:35:18Z","timestamp":1751034918000},"page":"e263024","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Ludwig\u2019s angina in an otherwise healthy adult"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6589-3108","authenticated-orcid":false,"given":"Tulasi","family":"Karanth","sequence":"first","affiliation":[{"name":"ENT-HNS, Military Hospital Prayagraj, Prayagraj, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neetu","family":"Lal","sequence":"additional","affiliation":[{"name":"ENT-HNS, Military Hospital Prayagraj, Prayagraj, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varun","family":"Anand","sequence":"additional","affiliation":[{"name":"Radiodiagnosis, Military Hospital Prayagraj, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheetal","family":"Raina","sequence":"additional","affiliation":[{"name":"Command Hospital Lucknow, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"2025082701521110000_18.6.e263024.1","unstructured":"Sharma R , Birchall M . Pharynx, larynx and neck. In: Williams NS , Bulstrode CJK , O\u2019Connell PR , eds. Bailey & love\u2019s short practice of surgery. 26th edn. Florida: CRC Press, Taylor & Francis Group, 2013: 703."},{"key":"2025082701521110000_18.6.e263024.2","doi-asserted-by":"publisher","DOI":"10.1177\/0009922809333095"},{"key":"2025082701521110000_18.6.e263024.3","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.012336"},{"key":"2025082701521110000_18.6.e263024.4","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1017\/S0022215106000806","article-title":"Did Ludwig\u2019s angina kill Ludwig?","volume":"120","author":"Wasson","year":"2006","journal-title":"J Laryngol Otol"},{"key":"2025082701521110000_18.6.e263024.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.01.002"},{"key":"2025082701521110000_18.6.e263024.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00082-12"},{"key":"2025082701521110000_18.6.e263024.7","doi-asserted-by":"crossref","DOI":"10.3389\/fmicb.2022.1025136","article-title":"Virulence factors of Streptococcus anginosus - a molecular perspective","volume":"13","author":"Kury\u0142ek","year":"2022","journal-title":"Front Microbiol"},{"key":"2025082701521110000_18.6.e263024.8","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s12663-015-0757-6","article-title":"Diversified and Unusual Presentations of Neck Space Infections: Still a Big Concern for Physicians","volume":"14","author":"Laskar","year":"2015","journal-title":"J Maxillofac Oral Surg"},{"key":"2025082701521110000_18.6.e263024.9","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000038630","article-title":"Antimicrobial management of dental infections: Updated review","volume":"103","author":"Abdullah","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"2025082701521110000_18.6.e263024.10","first-page":"81","article-title":"Imaging assessment of deep neck spaces infections: an anatomical approach","volume":"128","author":"Caprioli","year":"2023","journal-title":"Radiol Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:52:21Z","timestamp":1756284741000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,27]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1136\/bcr-2024-263024"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263024","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}