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KMID : 0355619980240040428
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Journal of Korean Association of Oral and Maxillofacial Surgeons
1998 Volume.24 No. 4 p.428 ~ p.434
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LUDWING`S ANGINA IN PATIENT WITH CUSHING`S SYNDROME : REPORT OF A CASE
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Lee Dong-Keun
Kim Yong-Woan
Lee Eun-Young
Park Hwa-Kyu
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Abstract
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Ludwig’s angina is a serous and potentially life threatening infectious disease involving
all of the submental, submandibular, and sublingual space bilaterally. It is characterized
by severe swelling and broad-like induration of the tissues in the submandibular region
and elevation of the tongue and flood of mouth with partial immobilization of these
structures.
A common cause of Cushing’s disease is an iatrogenic problem related to chronic
administration of either ACTH or glucocorticoids. Patients who administrated
glucocorticoids altered responese infection and wound healing. More important, many
patients who are taking or have been taken glucocorticoids have risk of developing
acute adrenal insuffciency (adrenal crisis) when place in stressful situation.
The treatment of infections in Cushing’s syndrome are reduction of number of
microbes through the use of appropriated antimicrobial agents and proper surgical
drainage and appropriated airway management and prorer steroids therapy that increased
administration of glucocorticoids.
In this paper, we report a rare case of Ludwig’s angina with Cushing’s syndrome. A
45-years old women was referred to our clinic in November 1996 for treatment of
infetious disease. Clinical examination of this patient showed a painful swelling of
submental space, elevation of tongue and difficulty of respiration or ’Moon Face’,
’Bufallo hump’, striae of abdomen and ecchymosis of extrmities.
We treated through the quickly airway management using blind oroendotracheal
intubation, antimicrobial injection of large quantity, increased adminstration of
glucocorticoids and proper surgical drainage. And We aquired satisfactory result.
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KEYWORD
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Ludwig’s angina, Cushing’s syndrome,
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