{"id":"https://openalex.org/W7214912344","doi":"https://doi.org/10.7759/cureus.117232","title":"Ludwig\u2019s Angina Complicated by a Massive Bilateral Deep Neck Abscess in a 26-Month-Old Boy: Multidisciplinary Airway and Surgical Management","display_name":"Ludwig\u2019s Angina Complicated by a Massive Bilateral Deep Neck Abscess in a 26-Month-Old Boy: Multidisciplinary Airway and Surgical Management","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214912344","doi":"https://doi.org/10.7759/cureus.117232","pmid":"https://pubmed.ncbi.nlm.nih.gov/42964812","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13722086"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117232","doi":"https://doi.org/10.7759/cureus.117232","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117232","pdf_url":"https://www.cureus.com/articles/528258-ludwigs-angina-complicated-by-a-massive-bilateral-deep-neck-abscess-in-a-26-month-old-boy-multidisciplinary-airway-and-surgical-management.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/528258-ludwigs-angina-complicated-by-a-massive-bilateral-deep-neck-abscess-in-a-26-month-old-boy-multidisciplinary-airway-and-surgical-management.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5122132708","display_name":"Razan Ismail","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800866514","display_name":"Al Jalila Foundation","ror":"https://ror.org/03zpd7f57","country_code":"AE","type":"nonprofit","lineage":["https://openalex.org/I2800866514"]}],"countries":["AE"],"is_corresponding":true,"raw_author_name":"Razan Ismail","raw_affiliation_strings":["Pediatric Emergency Medicine, Al Jalila Children's Speciality Hospital, Dubai, ARE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pediatric Emergency Medicine, Al Jalila Children's Speciality Hospital, Dubai, ARE","institution_ids":["https://openalex.org/I2800866514"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153640988","display_name":"Khadejah Jamal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800866514","display_name":"Al Jalila Foundation","ror":"https://ror.org/03zpd7f57","country_code":"AE","type":"nonprofit","lineage":["https://openalex.org/I2800866514"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Khadejah Jamal","raw_affiliation_strings":["Ear, Nose, and Throat, Al Jalila Children's Speciality Hospital, Dubai, ARE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ear, Nose, and Throat, Al Jalila Children's Speciality Hospital, Dubai, ARE","institution_ids":["https://openalex.org/I2800866514"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135236477","display_name":"Rehaam Fathima","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rehaam Fathima","raw_affiliation_strings":["Pediatric Emergency Medicine, Dubai Medical University, Dubai, ARE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pediatric Emergency Medicine, Dubai Medical University, Dubai, ARE","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083441514","display_name":"Safeena Kherani","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Safeena Kherani","raw_affiliation_strings":["Otolaryngology - Head and Neck Surgery, Al Jalila Children's Speciality Hospital, Dubai, ARE","Otolaryngology - Head and Neck Surgery, Mohammed Bin Rashid University, Dubai, ARE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Otolaryngology - Head and Neck Surgery, Al Jalila Children's Speciality Hospital, Dubai, ARE","institution_ids":[]},{"raw_affiliation_string":"Otolaryngology - Head and Neck Surgery, Mohammed Bin Rashid University, Dubai, ARE","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5122132708"],"corresponding_institution_ids":["https://openalex.org/I2800866514"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.70481487,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e117232","last_page":"e117232"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11153","display_name":"Streptococcal Infections and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ludwig-s-angina","display_name":"Ludwig's angina","score":0.9990000128746033},{"id":"https://openalex.org/keywords/deep-neck-abscess","display_name":"deep neck abscess","score":0.8500000238418579},{"id":"https://openalex.org/keywords/airway-compromise","display_name":"airway compromise","score":0.753000020980835},{"id":"https://openalex.org/keywords/submandibular-abscess","display_name":"submandibular abscess","score":0.8989999890327454},{"id":"https://openalex.org/keywords/sublingual-space","display_name":"sublingual space","score":0.8149999976158142},{"id":"https://openalex.org/keywords/incision-and-drainage","display_name":"incision and drainage","score":0.8360000252723694},{"id":"https://openalex.org/keywords/methicillin-susceptible-staphylococcus-aureus","display_name":"methicillin-susceptible Staphylococcus aureus","score":0.9309999942779541},{"id":"https://openalex.org/keywords/flucloxacillin","display_name":"flucloxacillin","score":0.9789999723434448},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.5490000247955322},{"id":"https://openalex.org/keywords/multidisciplinary-airway-management","display_name":"multidisciplinary airway management","score":0.7480000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9944999814033508},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6624000072479248},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.6316999793052673},{"id":"https://openalex.org/C2778425758","wikidata":"https://www.wikidata.org/wiki/Q180762","display_name":"Angina","level":3,"score":0.6180999875068665},{"id":"https://openalex.org/C105922876","wikidata":"https://www.wikidata.org/wiki/Q1423981","display_name":"Airway","level":2,"score":0.6075999736785889},{"id":"https://openalex.org/C2777035434","wikidata":"https://www.wikidata.org/wiki/Q164655","display_name":"Abscess","level":2,"score":0.5047000050544739},{"id":"https://openalex.org/C2778333281","wikidata":"https://www.wikidata.org/wiki/Q4330029","display_name":"Airway obstruction","level":3,"score":0.39329999685287476},{"id":"https://openalex.org/C2780978852","wikidata":"https://www.wikidata.org/wiki/Q286949","display_name":"Airway management","level":3,"score":0.375},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3569999933242798},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3529999852180481},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3005000054836273},{"id":"https://openalex.org/C3018411727","wikidata":"https://www.wikidata.org/wiki/Q3867488","display_name":"Head and neck","level":2,"score":0.2831999957561493},{"id":"https://openalex.org/C2781101105","wikidata":"https://www.wikidata.org/wiki/Q1581845","display_name":"Mediastinitis","level":2,"score":0.2567000091075897},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.25110000371932983}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117232","doi":"https://doi.org/10.7759/cureus.117232","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117232","pdf_url":"https://www.cureus.com/articles/528258-ludwigs-angina-complicated-by-a-massive-bilateral-deep-neck-abscess-in-a-26-month-old-boy-multidisciplinary-airway-and-surgical-management.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13722086","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13722086/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13722086/pdf/cureus-0018-00000117232.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42964812","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42964812","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.117232","doi":"https://doi.org/10.7759/cureus.117232","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117232","pdf_url":"https://www.cureus.com/articles/528258-ludwigs-angina-complicated-by-a-massive-bilateral-deep-neck-abscess-in-a-26-month-old-boy-multidisciplinary-airway-and-surgical-management.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214912344.pdf","grobid_xml":"https://content.openalex.org/works/W7214912344.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W1991083550","https://openalex.org/W2092282228","https://openalex.org/W2166561872","https://openalex.org/W2755449068","https://openalex.org/W4367050352"],"related_works":["https://openalex.org/W2407745392","https://openalex.org/W4309858832","https://openalex.org/W1991083550","https://openalex.org/W2325605920","https://openalex.org/W3118189135","https://openalex.org/W4367050352","https://openalex.org/W4413100837","https://openalex.org/W7162649619","https://openalex.org/W4282560421","https://openalex.org/W4390991756"],"abstract_inverted_index":{"Ludwig's":[0,245],"angina":[1,246],"is":[2],"a":[3,46,124,193,235,252,278],"rapidly":[4,57,249,295],"progressive":[5,58,296],"deep":[6,180,297],"neck":[7,63,76,181,298],"infection":[8],"affecting":[9],"the":[10,90,109,114,118,133,139,151,162,173,226],"submandibular,":[11,176],"sublingual,":[12],"and":[13,35,61,74,92,128,136,167,170,178,192,204,222,250,271,285],"submental":[14,62,93,115,129],"regions.Although":[15],"uncommon":[16],"in":[17,42,161,230,292],"children,":[18],"it":[19],"can":[20,247],"be":[21],"life-threatening":[22],"due":[23],"to":[24,71,117,150,210,219,233],"sudden":[25],"airway":[26,30,143,155,254,264,287],"compromise.Early":[27],"diagnosis,":[28],"multidisciplinary":[29,261],"planning,":[31],"broad-spectrum":[32],"antibiotic":[33,239],"therapy,":[34],"timely":[36],"surgical":[37,269],"source":[38],"control":[39],"are":[40,275,289],"essential":[41],"pediatric":[43,244],"cases.We":[44],"report":[45],"previously":[47],"healthy,":[48],"unimmunized":[49],"26-month-old":[50],"boy":[51],"who":[52],"presented":[53],"with":[54,141,294],"acute":[55],"fever,":[56],"bilateral":[59,126,175],"submandibular":[60,91,111,120,127],"swelling,":[64],"poor":[65],"feeding,":[66],"vomiting,":[67],"diarrhea,":[68],"lethargy,":[69],"inability":[70],"lie":[72],"flat,":[73],"restricted":[75],"movement.No":[77],"drooling":[78,258],"or":[79,259],"stridor":[80],"was":[81,159,183,196,207,228],"present":[82],"at":[83],"presentation.Examination":[84],"revealed":[85],"massive":[86],"fluctuant":[87],"swelling":[88],"throughout":[89],"regions.Initial":[94],"ultrasound":[95],"demonstrated":[96,123],"an":[97],"extensive":[98,174],"echogenic":[99],"collection":[100],"measuring":[101],"approximately":[102,186],"15":[103],"\u00d7":[104],"4":[105],"cm,":[106],"extending":[107,131],"from":[108],"left":[110],"region":[112],"across":[113],"space":[116,135],"right":[119],"region.Contrast-enhanced":[121],"CT":[122,165],"large":[125],"abscess":[130,182],"into":[132],"sublingual":[134,179],"floor":[137],"of":[138,154,172,189,238,283],"mouth,":[140],"mild":[142],"mass":[144],"effect":[145],"but":[146],"no":[147],"intracranial":[148],"extension.Due":[149],"high":[152,281],"risk":[153,255],"compromise,":[156],"elective":[157],"intubation":[158],"performed":[160],"PICU":[163],"before":[164],"imaging":[166],"surgery.Urgent":[168],"incision":[169],"drainage":[171],"submental,":[177],"performed,":[184],"yielding":[185],"150":[187],"mL":[188],"purulent":[190],"material,":[191],"Penrose":[194],"drain":[195],"placed.Two":[197],"wound":[198],"cultures":[199],"grew":[200],"methicillin-sensitive":[201],"Staphylococcus":[202],"aureus,":[203],"antimicrobial":[205,273],"therapy":[206,274],"subsequently":[208],"narrowed":[209],"flucloxacillin":[211],"based":[212],"on":[213],"susceptibility":[214],"results.After":[215],"successful":[216],"extubation,":[217],"weaning":[218],"room":[220],"air,":[221],"tolerating":[223],"oral":[224],"intake,":[225],"patient":[227],"discharged":[229],"stable":[231],"condition":[232],"complete":[234],"14-day":[236],"course":[237],"therapy.This":[240],"case":[241],"highlights":[242],"that":[243],"progress":[248],"pose":[251],"significant":[253],"even":[256],"without":[257],"stridor.Early":[260],"involvement,":[262],"controlled":[263],"management,":[265],"crosssectional":[266],"imaging,":[267],"prompt":[268],"drainage,":[270],"culture-directed":[272],"crucial":[276],"for":[277],"favorable":[279],"outcome.A":[280],"index":[282],"suspicion":[284],"early":[286],"planning":[288],"particularly":[290],"important":[291],"children":[293],"infections.":[299]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-01T00:00:00"}
