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Warfarine Bağlı Dil Altı Şişliği: Bir Psödo-Ludwig Angina Olgusu

Yıl 2023, , 113 - 114, 27.12.2023
https://doi.org/10.55994/ejcc.1382402

Öz

Psödo-ludwig anjina enfeksiyon dışı nedenlerle dil altında gelişen şişliktir. Bu durumda oral alım bozulması hatta solunum yolu tıkanıklığı gibi ölümcül durumlar gelişebilir Antikoagülan kullanımı nedeniyle literatürde nadiren bildirilmektedir. Bu çalışmada INR değeri normal sınırda olan, diş tedavisi (ağız içi travma) sonrası dil altı şişlik gelişen hastayı sunduk. 68 yaşında bayan hasta, 3 gün önce diş tedavisi yapıldıktan sonra gitgide artan ağız içi şişlik şikayeti ile acil servise başvurdu. Muayenesinde sublingual bölgede 3x5 cm’lik hematom görüldü. Warfarin kesildi olası entübasyon riski açısından takibe alındı. Solunum sıkıntısı gelişmeyen hasta 4 gün sonra taburcu edildi. Ağız içi müdahalelerin güvenle yapılabileceği INR aralığı hala belirsizdir. Diş hekimi, warfarin kullanan hastalarda bu gibi komplikasyonlar gelişebileceğini akılda tutmalı, tedavi öncesi kanama komplikasyonlarına karşı hazırlıklı olmalıdır.

Kaynakça

  • 1. Cashman E, Shandilya M, Amin M, Hughes J, Walsh M. Warfarin-induced sublingual hematoma mimicking Ludwig angina: conservative management of a potentially life-threatening condition. Ear, Nose & Throat Journal 2011;90(2):E1-E3.
  • 2. Lovallo E, Patterson S, Erickson M, Chin C, Blanc P, Durrani TS. When is “pseudo–Ludwig’s angina” associated with coagulopathy also a “pseudo” hemorrhage?. Journal of Investigative Medicine High Impact Case Reports 2013;1(2).
  • 3. Gupta MK, McClymont LG, El-Hakim H. Case of sublingual hematoma threatening airway obstruction. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research 2003 Nov;9(11):CS95-7.
  • 4. Visser LE, Bleumink GS, Trienekens PH, Vulto AG, Hofman A,Stricker BHC. The risk of overanticoagulation in patients with heart failure on coumarin anticoagulants. British journal of haematology 2004;127(1):85-89
  • 5. Tran HA, Chunilal SD, Harper PL, Tran H, Wood EM, Gallus AS. An update of consensus guidelines for warfarin reversal. Medical Journal of Australia 2013:198(4):198-199.
  • 6. Aframia, DJ, Lalla RV, Peterson DE. Management of dental patients taking common hemostasis-altering medications. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2007;103:S45-e1.

Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina

Yıl 2023, , 113 - 114, 27.12.2023
https://doi.org/10.55994/ejcc.1382402

Öz

Pseudo-Ludwig angina is a swelling that develops generally due to a cause other than an infection and can lead to fatal conditions such as severe respiratory obstruction. Due to anticoagulant use is rarely reported in the literature. This study presented a patient whose INR value was within the normal range and who developed sublingual swelling after dental treatment (intraoral trauma). A 68-year-old female patient was admitted to the emergency department complaining of increasing intraoral swelling on examination with a sublingual 3x5 cm hematoma. Warfarin was stopped, and she was monitored for possible intubation risk in the service. The patient did not develop respiratory distress and was discharged 4 days later. The INR range within which intraoral interventions can be performed safely is still unclear. The dentist should keep in mind that such complications may develop and be prepared for bleeding complications before treatment using warfarin patients.

Kaynakça

  • 1. Cashman E, Shandilya M, Amin M, Hughes J, Walsh M. Warfarin-induced sublingual hematoma mimicking Ludwig angina: conservative management of a potentially life-threatening condition. Ear, Nose & Throat Journal 2011;90(2):E1-E3.
  • 2. Lovallo E, Patterson S, Erickson M, Chin C, Blanc P, Durrani TS. When is “pseudo–Ludwig’s angina” associated with coagulopathy also a “pseudo” hemorrhage?. Journal of Investigative Medicine High Impact Case Reports 2013;1(2).
  • 3. Gupta MK, McClymont LG, El-Hakim H. Case of sublingual hematoma threatening airway obstruction. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research 2003 Nov;9(11):CS95-7.
  • 4. Visser LE, Bleumink GS, Trienekens PH, Vulto AG, Hofman A,Stricker BHC. The risk of overanticoagulation in patients with heart failure on coumarin anticoagulants. British journal of haematology 2004;127(1):85-89
  • 5. Tran HA, Chunilal SD, Harper PL, Tran H, Wood EM, Gallus AS. An update of consensus guidelines for warfarin reversal. Medical Journal of Australia 2013:198(4):198-199.
  • 6. Aframia, DJ, Lalla RV, Peterson DE. Management of dental patients taking common hemostasis-altering medications. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2007;103:S45-e1.
Toplam 6 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Case Reports
Yazarlar

Abdulrahman Naser 0000-0002-0954-6347

Yucel Uzun 0009-0002-0246-2404

Ceyda Karslı 0009-0001-4012-015X

Oya Güven 0000-0002-6389-4561

Lale Tuna 0000-0003-4409-3459

Yayımlanma Tarihi 27 Aralık 2023
Gönderilme Tarihi 27 Ekim 2023
Kabul Tarihi 6 Aralık 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Naser, A., Uzun, Y., Karslı, C., Güven, O., vd. (2023). Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina. Eurasian Journal of Critical Care, 5(3), 113-114. https://doi.org/10.55994/ejcc.1382402
AMA Naser A, Uzun Y, Karslı C, Güven O, Tuna L. Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina. Eurasian j Crit Care. Aralık 2023;5(3):113-114. doi:10.55994/ejcc.1382402
Chicago Naser, Abdulrahman, Yucel Uzun, Ceyda Karslı, Oya Güven, ve Lale Tuna. “Warfarin-Induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina”. Eurasian Journal of Critical Care 5, sy. 3 (Aralık 2023): 113-14. https://doi.org/10.55994/ejcc.1382402.
EndNote Naser A, Uzun Y, Karslı C, Güven O, Tuna L (01 Aralık 2023) Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina. Eurasian Journal of Critical Care 5 3 113–114.
IEEE A. Naser, Y. Uzun, C. Karslı, O. Güven, ve L. Tuna, “Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina”, Eurasian j Crit Care, c. 5, sy. 3, ss. 113–114, 2023, doi: 10.55994/ejcc.1382402.
ISNAD Naser, Abdulrahman vd. “Warfarin-Induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina”. Eurasian Journal of Critical Care 5/3 (Aralık 2023), 113-114. https://doi.org/10.55994/ejcc.1382402.
JAMA Naser A, Uzun Y, Karslı C, Güven O, Tuna L. Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina. Eurasian j Crit Care. 2023;5:113–114.
MLA Naser, Abdulrahman vd. “Warfarin-Induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina”. Eurasian Journal of Critical Care, c. 5, sy. 3, 2023, ss. 113-4, doi:10.55994/ejcc.1382402.
Vancouver Naser A, Uzun Y, Karslı C, Güven O, Tuna L. Warfarin-induced Sublingual Swelling: A Case of Pseudo-Ludwig Angina. Eurasian j Crit Care. 2023;5(3):113-4.

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