Abstract

SORIANO-CUETO, Yenisey  and  REYNA-VILLASMIL, Eduardo. Ludwig's angina during pregnancy. Case report. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.1, 00012.  Epub Feb 24, 2022. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v68i2404.

Physiological, hormonal and immune changes caused by pregnancy may predispose to increased risk of infectious complications, especially in odontogenic infections. Ludwig's angina is a rapidly progressive infectious complication affecting the floor of the oral cavity, usually secondary to abscesses of mandibular second and third molars that subsequently spreads to the submandibular, sublingual and submental spaces. If not treated quickly and adequately it can have fatal consequences, such as upper airway obstruction and sepsis. Its occurrence during pregnancy is associated with an increased risk of severe perinatal morbidity, in most cases secondary to tissue hypoxia. Treatment consists of the administration of broad-spectrum antibiotics and, in some cases, surgical decompression of the affected areas. But it is necessary to consider the potential adverse fetal effects of management. It is essential to reinforce the importance of good oral health of the pregnant woman to avoid this complication. A case of Ludwig's angina during pregnancy is presented.

Keywords : Ludwig's angina; Preventive dentistry; Pregnancy complications; odontogenic infection; Case management.

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