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January 1983

Purulent Mediastinal Abscess Secondary to Ludwig's Angina

Author Affiliations

From the Division of Thoracic Surgery (Drs Snow and Lucas), and the Department of Oral Surgery (Drs Grau and Steiner), University of Louisville School of Medicine and Dentistry. Dr Snow is now with the Department of Surgery, Cleveland Metropolitan General Hospital.

Arch Otolaryngol. 1983;109(1):53-55. doi:10.1001/archotol.1983.00800150057011

• A case of Ludwig's angina dissected along deep cervical fascial planes into the mediastinum caused a virulent mediastinitis and abscess. Computed tomography precisely delineated the extent of the infection. Incomplete débridement resulted in a residual abscess and persistent systemic sepsis that culminated in the patient's death. Aggressive antibiotic treatment of the orofacial cellulitis along with complete mediastinal drainage are recommended for optimal outcome.

(Arch Otolaryngol 1983;109:53-55)

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