A Rare Presentation of Ludwig’s Angina Complicated by Necrotizing Fasciitis


Ludwig’s Angina
Necrotizing Fasciitis.

How to Cite

Siaw, Y. N., Md Ghazali, N., & Ramasamy, S. N. (2019). A Rare Presentation of Ludwig’s Angina Complicated by Necrotizing Fasciitis. Malaysian Journal of Oral Maxillofacial Surgery, 17(1), 16–19. Retrieved from https://mjoms.my/index.php/mjoms/article/view/5


Ludwig’s angina is a rapidly progressive cellulitis affecting the submandibular, sublingual and submental spaces. Necrotizing fasciitis is a rare soft tissue infection resulting in the death of subcutaneous and fascial tissue. Ludwig’s angina can seldom be complicated by necrotizing fasciitis. We report here a rare presentation of extreme life threatening Ludwig’s angina complicated by necrotizing fasciitis in a 35-year-old healthy male. Multiple incision and drainage and extensive wound debridement of necrotic tissue were carried out under general anaesthesia. His wound healing was further complicated with oral cutaneous fistula formation and required daily dressing. This case illustrates the urgency of prompt diagnosis and management. Innocuous dental caries if left untreated, can potentially be life threatening.