Article Text

Download PDFPDF
Life-threatening complications of Ludwig’s angina: a series of cases in a developed country
  1. Catarina Mendes Silva1,
  2. Joana Paixão2,
  3. Pedro Neves Tavares3 and
  4. João Pedro Baptista1
  1. 1Serviço de Medicina Intensiva, Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal
  2. 2Serviço de Medicina Interna, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
  3. 3Serviço de Medicina Interna, Centro Hospitalar de Leiria, Leiria, Portugal
  1. Correspondence to Dr Catarina Mendes Silva; cat.pato{at}


Ludwig’s angina is a deep neck space infection defined as a rapidly progressive bilateral cellulitis of the submandibular space. In spite of being an uncommon entity in developed countries and the reduction of mortality and morbidity due to modern era of antibiotics, improved imaging and airway management, it is still an important and potentially life-threatening condition. The authors present 3 cases of Ludwig’s angina that occurred in a developed country, and that required admission in intensive care unit and extensive surgical and medical treatment.

  • drugs: infectious diseases
  • adult intensive care

Statistics from


  • Contributors CMS, JP and PNT contributed to conceptualisation, analysis, interpretation of patient data and writing the original draft. JPB contributed to conceptualisation, methodology and article review. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.