|LETTER TO THE EDITOR
|Year : 2019 | Volume
| Issue : 2 | Page : 107
Ludwig's angina: Pediatric case report and literature review
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
|Date of Web Publication||17-Sep-2019|
Prof. Mahmood Dhahir Al-Mendalawi
P.O.Box 55302, Baghdad Post Office, Baghdad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Al-Mendalawi MD. Ludwig's angina: Pediatric case report and literature review. J Mahatma Gandhi Inst Med Sci 2019;24:107
I refer to the interesting case report by Singh et al. published in the July–December 2018 issue of Journal of Mahatma Gandhi Institute of Medical Sciences. The authors nicely described a case of Ludwig's angina (LA) in a 6--old Indian boy. In the view of the rarity of that serious infection to occur in infancy with its clinical escalation, I assume that the authors ought to consider compromised immune status in the studied infant. Among conditions associated with compromised immunity, human immunodeficiency virus (HIV) infection is of paramount importance. My assumption is based on the following point. It is noteworthy that due to defective immunity, HIV-positive individuals are more susceptible to infection more than those with a healthy immune system. To the best of my knowledge, HIV infection is a significant health hazard in India. Although no recent data are yet present on the exact pediatric HIV seroprevalence, the available data pointed out to the substantial HIV seroprevalence rate of 1.03% among pregnant in India. Regrettably, the HIV status of the mother of the studied infant was not identified. I presume that some sort of vertical HIV transmission ought to be considered in the studied infant. Therefore, arranging for the diagnostic set of blood viral overload and CD4 lymphocyte count measurements was envisaged in the studied infant. If that set was done and it revealed HIV reactivity, the case in question could be truly regarded as the second novel case report of HIV-associated LA in India. The first case was reported in a 30-year-old male Indian patient with previously undiagnosed HIV patient who presented with necrotizing fasciitis of the right upper chest wall and LA concurrently.
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| References|| |
Singh AP, Tanger R, Mathur V, Gupta AK. Ludwig's angina: Pediatric case report and literature review. J Mahatma Gandhi Inst Med Sci 2018;23:89-91. [Full text]
Sibia P, Mohi MK, Kumar A. Seroprevalence of human immunodeficiency virus among antenatal women in one of the institute of Northern India. J Clin Diagn Res 2016;10:QC08-9.
Keerthi R, Nayak T. Soft tissue infection of the head and neck in HIV – A vexing diagnostic conundrum. SRM J Res Dent Sci 2016;7:83-90. [Full text]