<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-2890</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Estomatol Med Dent Cir Maxilofac]]></abbrev-journal-title>
<issn>1646-2890</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Estomatologia e Medicina Dentária]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-28902020000100029</article-id>
<article-id pub-id-type="doi">10.24873/j.rpemd.2020.07.698</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Angina de Ludwig, a propo&#769;sito de um caso cli&#769;nico]]></article-title>
<article-title xml:lang="en"><![CDATA[Ludwig&#8217;s Angina, a clinical case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sous]]></surname>
<given-names><![CDATA[Grimanesa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lourenc&#807;o]]></surname>
<given-names><![CDATA[Ce&#769;sar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Motta]]></surname>
<given-names><![CDATA[Sofia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital do Divino Espi&#769;rito Santo de Ponta Delgada Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[S. Miguel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital do Divino Espi&#769;rito Santo de Ponta Delgada Serviço de Medicina Intensiva ]]></institution>
<addr-line><![CDATA[S. Miguel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital do Divino Espi&#769;rito Santo de Ponta Delgada Serviço de Otorrinolaringologia ]]></institution>
<addr-line><![CDATA[S. Miguel ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-28902020000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-28902020000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-28902020000100029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A angina de Ludwig apresenta-se como uma celulite grave que envolve o espaço submandibular, de início agudo e evolução rapidamente progressiva. Descreve-se o quadro clínico de um homem de 33 anos com uma tumefação submandibular de agravamento progressivoassociada a obstrução da via aérea e necessidade de ventilação mecânica invasiva. Imagiologicamente, apresentava extenso processo fleimonoso dos tecidos moles do pescoço, com ponto de partida em cáries dentárias homolaterais. Foi instituída a drenagem do abcesso e antibioterapia, sem evidência de melhoria. Careceu de intervenção cirúrgica, com evolução paulatina, mas favorável. Este caso demonstra que o diagnóstico e tratamento precoces são fundamentais para o sucesso terapêutico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Ludwig&#8217;s angina is a severe cellulitis involving the submandibular space, with acute onset and rapidly progressive evolution. We describe the case of a 33-year-old man with a progressive submandibular swelling associated with an airway obstruction that required mechanical ventilation. Radiologically, the patient presented with an extensive phlegmonous process of the soft tissues of the neck, originating from homolateral dental caries. Abscess drainage and antibiotic therapy were performed, without evidence of improvement. Surgical intervention was required, resulting in slow but favorable evolution. This case shows that successful treatment depends on early diagnosis and treatment.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Angina de Ludwig]]></kwd>
<kwd lng="pt"><![CDATA[Antibióticos]]></kwd>
<kwd lng="pt"><![CDATA[Caso clínico]]></kwd>
<kwd lng="pt"><![CDATA[Celulite]]></kwd>
<kwd lng="pt"><![CDATA[Infeções odontogénicas]]></kwd>
<kwd lng="en"><![CDATA[Ludwig&#8217;s angina]]></kwd>
<kwd lng="en"><![CDATA[Antibiotics]]></kwd>
<kwd lng="en"><![CDATA[Case report]]></kwd>
<kwd lng="en"><![CDATA[Cellulitis]]></kwd>
<kwd lng="en"><![CDATA[Odontogenic infections]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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