Ludwig’s Angina Complicated by Descending Necrotizing Mediastinitis and Superimposed Candida mediastinitis: Case Report and Literature Review Ludwig's Angina with Necrotizing Mediastinitis and Candida infection

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Nilesh Tejura, MD
Rajendra Kapila, MD
Lisa Dever


Ludwig’s angina is a rapidly spreading infection of the floor of the mouth and neck.  A rare and dreaded complication of Ludwig’s angina is extension of the infection to the mediastinum.  We describe a unique case of Ludwig’s angina presenting with descending necrotizing mediastinitis, with the subsequent development of Candida albicans and Candida krusei mediastinitis.

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Author Biographies

Nilesh Tejura, MD, Rutgers New Jersey Medical School


Division of Infectious Diseases

Rajendra Kapila, MD, Rutgers New Jersey Medical School

Division of Infectious Diseases