A case of Ludwig angina: a case report and review of the literature

Ludwig angina is a rapidly progressing submaxillary, submandibular, and sublingual necrotizing cellulitis of the floor of the mouth that can have lethal consequences due to airway obstruction. Various aerobic and anaerobic microorganisms, and less often fungi, have been implicated to cause Ludwig angina, including oral flora such as streptococci and staphylococci. Early recognition and the use of parenteral antibiotics can prevent mortality and morbidity. We report a case of a 25-year-old white man who was admitted to the hospital by his dentist after being diagnosed with Ludwig angina secondary to periodontal abscesses involving teeth #17 and #32. Although antibiotics were administered, while in the hospital, the decedent had difficulty swallowing and was drooling. He suddenly began to have seizure-like activity thought to be anoxic myoclonus. The decedent was aggressively resuscitated and taken to the operating room for neck exploration and a tracheostomy. Neck exploration revealed severe necrotizing acute inflammation of the deep soft tissues and musculature of the neck. He remained on life support for 7 days until he was declared brain dead. Ludwig angina is a progressive cellulitis that often results in death by asphyxia. Ludwig angina can be complicated by subsequent deep neck infection. The underlying etiologies and common scenarios are examined, and significant autopsy findings and dissecting procedures are discussed. The pathophysiology of Ludwig angina is studied with a review of the current literature.     

Racial Resentment and Whites’ Gun Policy Preferences in Contemporary America

Our study investigates how and why racial prejudice can fuel white opposition to gun restrictions. Drawing on research across disciplines, we suggest that the language of individual freedom used by the gun rights movement utilizes the same racially meaningful tropes as the rhetoric of the white resistance to black civil rights that developed after WWII and into the 1970s. This indicates that the gun rights narrative is color-coded and evocative of racial resentment. To determine whether racial prejudice depresses white support for gun control, we designed a priming experiment which exposed respondents to pictures of blacks and whites drawn from the IAT. Results show that exposure to the prime suppressed support for gun control compared to the control, conditional upon a respondent’s level of racial resentment. Analyses of ANES data (2004–2013) reaffirm these findings. Racial resentment is a statistically significant and substantively important predictor of white opposition to gun control.     

Books in review

has taught at the universities of London and York. He is author of The Making of Sociology, The Shaking of the Foundations: Family and Society,and The Abolitionists—The Family and Marriage under Attack.Fletcher’s own book on Burt, Science, Ideology, and the Media,will be issued by Transaction in 1991.     

Improving juvenile dependency courts:Twenty-Three Steps

New federal support for improvement in the handling of child welfare cases has made it possible for juvenile and family court judges to assess how well courts are implementing the Adoption Assistance and Child Welfare Act of 1980. This article first describes the purposes of the Act, and then suggest 23 steps to consider in attempts to improve the court process.     

Prostitution, morality crusades and feminism: German-Jewish feminists and the campaign against white slavery

Feminism did not come easily to Germany's middle-class Jewish women. Moral outrage against white slavery and prostitution, however, led many religious housewives to join the Jüdischer Frauenbund (League of Jewish Women), a Jewish feminist organization. Their attitudes towards their ‘victimized’ or ‘erring young sisters’, their motivations for fighting white slavery, and the tactics they employed in their campaigns are examined in this essay. While they emphasized the virtues of purity and invoked Jewish ethical codes, theirs was not simply a morality crusade. The feminist founders of the Jüdischer Frauenbund (JFB) struggled to persuade their more conservative followers that the sexual abuse of women was linked to their inferior status in German society and Jewish culture. These leaders successfully convinced JFB members to take a giant step beyond their traditional family roles and charitable activities in order to challenge sexism. Thus the fight against white slavery became instrumental in serving wider feminist goals.