Resumen

CHAPLE LA HOZ, Manuel; SOLORZANO, Alexandra Franco  y  LOPES ARISTICA, Lidia. Ludwig angina complicated with septic shock. Salud(i)Ciencia [online]. 2020, vol.24, n.1-2, pp.42-44.  Epub 03-Mayo-2020. ISSN 1667-8682.  http://dx.doi.org/www.dx.doi.org/10.21840/siic/164163.

Introduction: Ludwig's angina constitutes one of the most admitted infections of the soft tissues of the neck and floor of the tongue in the intensive care units (ICU) due to its airway compromise and complications from septic shock. The incidence is higher in the adult population, and with the use of the latest generation antibiotics, its incidence has decreased. One of the most frequent causes is the presence of an odontogenic focus, such as abscesses, mainly on the second and third molars. Objective: To describe a clinical case that was admitted to the ICU of the Hospital, highlighting comprehensive management and adequate antibiotic therapy. Main data of the case: 24-year-old female patient, a native of Latacunga, goes to the emergency service of the Hospital del sur de Quito due to fever of 10 days of evolution and general condition with signs of shock, and severe pain in the tongue, with edema, and impaired phonation. For initial management, tramal is administered intravenously, Hydrocortisone IV, and broad-spectrum antibiotic with piperacillin with tazobactam 4 grams intravenously every 6 hours, and intravenous metronidazole every 8 hours. Conclusions: Ludwig's angina is a pathology that usually involves young patients, whose evolution is rapid and its inadequate management leads to death associated with obstructive respiratory failure and severe sepsis, which therefore requires a timely diagnosis.

Palabras clave : Ludwig's angina; septic shock; beta-lactams; metronidazole; dopamine.

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