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PubMed2000

[Ludwig's angina].

Ludwig's angina is a rare infectious condition originating in the oropharyngeal region, most commonly from the teeth. The principal symptoms consist of cervical pain, dyspnea, dysphagia, symmetrical neck swelling and fever. Serious complications include respiratory collapses, mediastinitis, pleural empyema, pericarditis and pericardial tamponade, and may result in the death of the patient. The most useful investigations in patients with suspected Ludwig's angina are clinical assessment, a cervico-thoracic CT-scan to determine the extent of the lesions, microbiological examination and panoramic radiography to detect possible dental focuses of infection. Treatment consists of ensuring adequate ventilation by securing the upper airways, broad spectrum antibiotic therapy, eradication of the source of infection, and often early surgical decompression may be necessary. Rapid diagnosis and appropriate treatment can reduce the mortality rate to 10%.

Adult↗
PubMed2000

The man-eaters with bad teeth.

Two cases of man-eating lions feeding on large numbers of humans (1898, 1991) are discussed. The forensic dental evidence from the lions' remains and eyewitness reports indicate all three lions had serious dental/oral pathology, which may have contributed to their selection of human food over more challenging natural animal prey.

Animals↗