Pseudo-Ludwig’s angina: spontaneous sublingual haematoma elicited by warfarin
  • Nagihan Orhun
    Department of Internal Medicine, St. Joseph’s University Medical Center, Paterson, USA
  • Utku Ekin
    Department of Pulmonary and Critical Care Medicine, St. Joseph’s University Medical Center, Paterson, USA
  • Jessimar Sanchez
    Department of Pulmonary and Critical Care Medicine, St. Joseph’s University Medical Center, Paterson, USA
  • Moh'd Hazem Azzam
    Department of Pulmonary and Critical Care Medicine, St. Joseph’s University Medical Center, Paterson, USA
  • Rajapriya Manickam
    Department of Pulmonary and Critical Care Medicine, St. Joseph’s University Medical Center, Paterson, USA

Keywords

Pseudo-Ludwig’s angina, warfarin, sublingual haematoma, upper airway bleeding

Abstract

Spontaneous bleeding into the upper airways is a rare and potentially life-threatening complication of chronic anticoagulation. There are scarce cases in the literature demonstrating upper airway haematomas secondary to warfarin use, which is the predominant anticoagulant used by clinicians despite having a complex pharmacokinetic and pharmacodynamic profile. We report a compelling case featuring warfarin-induced sublingual haematoma, managed conservatively through the reversal of anticoagulation using fresh frozen plasma complemented by vigilant monitoring within the Intensive Care Unit (ICU).

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    Published: 2024-02-12
    Issue: 2024: Vol 11 No 3 (view)

    How to cite:
    1.
    Orhun N, Ekin U, Sanchez J, Azzam MH, Manickam R. Pseudo-Ludwig’s angina: spontaneous sublingual haematoma elicited by warfarin. EJCRIM 2024;11 doi:10.12890/2024_004299.