Authors: J. Varvařovská; J. Sýkora; F. Stožický; R. Vondráková 1; M. Švecová 2; J. Schwarz Authors‘ workplace: Dětská klinika FN a LF UK, Plzeň přednosta doc. MUDr. F. Stožický, DrSc. Radiodiagnostická klinika FN a LF UK, Plzeň1 přednosta doc. MUDr. B. Kreuzberg, CSc. Ústav mikrobiologie - oddělení virologie FN a LF UK, Plzeň2přednosta RNDr. K. Fajfrlík Published in: Čes-slov Pediat 2003; (9): 556-559. Category:
Ludwig’s angina (LA) is a rare rapidly progressing life-threatening cellulitis of the submandibular neck space.The authors present a case of Ludwig’s angina caused by herpes simplex virus 1 (HSV) in a 15-year-old boywith idiopathic proctocolitis and immunosuppressive therapy. This report is the first to describe HSV-1 related LAin the pediatric population. The patient was successfully treated with acyclovir intravenously with dramatic clinicalimprovement.The authors conclude that in patients with LA, HSV should be taken into account in the differential diagnosis.The findings provide evidence that HSV contributes significantly to the development of LA in childhood.
Key words: Ludwig’s angina, herpes simplex virus, acyclovir, idiopatic proctocolitis
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