DOI: 10.12890/2024_004299

Pseudo-Ludwig’s angina: spontaneous sublingual haematoma elicited by warfarin

Authors

  • 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

r_orhunna@sjhmc.org

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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References

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Published

2024-02-12

Issue

Vol. 11 No. 3 (2024)

Categories

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 [Internet]. 2024 Feb. 12 [cited 2026 Nov. 3];11(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/4299

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