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Case Reports in Otolaryngology
Volume 2012, Article ID 931350, 4 pages
Case Report

An Unusual Presentation of Ludwig’s Angina Complicated by Cervical Necrotizing Fasciitis: A Case Report and Review of the Literature

1Department of Otolaryngology-Head & Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5
2Department of Emergency Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5

Received 2 April 2012; Accepted 29 June 2012

Academic Editors: A. Rapoport and R. J. Stokroos

Copyright © 2012 Kristelle Chueng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Ludwig’s angina can seldom be complicated by necrotizing fasciitis. Due to the rapidly progressing nature of this infection and the potential for airway compromise and death, it is important to be aware of different ways in which this disease process can present in order to recognize and treat it emergently. We report here an unusual presentation of a case of Ludwig’s angina complicated by necrotizing fasciitis in an elderly patient. The clinical features, diagnosis, and treatment are discussed in detail as well as a brief literature review on craniocervical necrotizing fasciitis.