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

Year 2023, Volume: 5 Issue: 3, 113 - 114, 27.12.2023

Abdulrahman Naser , Yucel Uzun , Ceyda Karslı , Oya Güven , Lale Tuna

https://doi.org/10.55994/ejcc.1382402

Abstract

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.

Keywords

Warfarin, Psödo-Ludwig Anjina, Kanama

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

Abstract

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.

Keywords

Warfarin, Pseudo-Ludwig Angina, Bleeding

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