https://surabayamedicaljournal.or.id/indonesia <p><strong>Surabaya Medical Journal</strong> <strong>(SMJ IDI Surabaya) (<a href="https://portal.issn.org/resource/ISSN/2986-7584" target="_blank" rel="noopener">e-ISSN: 2986-7584</a>, <a href="https://portal.issn.org/resource/ISSN/2986-2469" target="_blank" rel="noopener">p-ISSN: 2986-2469</a>) </strong>is an official journal published by Ikatan Dokter Indonesia Surabaya focusing on a scientific journal devoted to research and development publications in the medical field. Specialties featured in the Surabaya Medical Journal include all aspects in medicine and health sciences. Articles can be in the form of original research report, case report/case series, image article, scoping review, systematic review, meta-analysis, randomized clinical trial and community service report/viewpoint/opinion.</p> <p><strong>Surabaya Medical Journal (SMJ IDI Surabaya)</strong> using Global Lots of Copies Keep Stuff Safe (LOCKSS) for journal archiving, security and storage with Open Journal System (OJS) management.</p> <p><strong>Surabaya Medical Journal (SMJ IDI Surabaya)</strong> is published twice a year in June and December. Since 2023, <strong>Surabaya Medical Journal (SMJ IDI Surabaya)</strong> has only accepted articles in English.</p> <p>The manuscript should be prepared according to the <strong><a href="https://surabayamedicaljournal.or.id/indonesia/about/submissions">Guidelines For Author</a></strong>, arranged according to its respective template, and submitted via the <strong><a href="https://surabayamedicaljournal.or.id/indonesia/about/submissions">Online Submission</a></strong> at the top bar.</p> <p>Further communications should be addressed to: [email protected]</p> Surabaya Medical Journal en-US Surabaya Medical Journal 2986-2469 https://surabayamedicaljournal.or.id/indonesia/article/view/103 <p><strong>Background:</strong> Ludwig’s angina (LA) is a rapidly spreading infection of the submandibular, sublingual, and submental spaces that involves the floor of the mouth and may lead to airway compromise and sepsis.&nbsp; Predisposing factors such as dental infections, diabetes mellitus (DM), and immunocompromised conditions (e.g., tuberculosis) increase the risk and complicate management. <strong>Case presentation:</strong> A 43-year-old male with a history of uncontrolled DM and tuberculosis presented with a 4–5 months progressive swelling and pain in the right submandibular area, worsening in the last week. Physical exam showed an indurated, warm, erythematous mass, limited neck movement, and poor dental hygiene. Labs revealed leucocytosis, elevated liver enzymes, hyperglycaemia, and chest X-ray suggesting pulmonary TB. (SOFA) score was calculated to assess the severity of systemic involvement. The patient received oxygen, IV antibiotics, insulin, and was referred for surgical debridement. Due to hemodynamic instability and complex comorbidities, requiring referral to a tertiary care center for definitive airway and surgical management. <strong>Conclusion:</strong> Ludwig’s angina in patients with DM and TB requires rapid multidisciplinary management. Delay increases morbidity and risk of airway obstruction or sepsis.</p> ajeng warno Copyright (c) 2026 ajeng warno https://creativecommons.org/licenses/by/4.0 2026-02-07 2026-02-07 3 2