• Am J Otolaryngol · Jan 2015

    Case Reports

    Warfarin induced sublingual hematoma: a Ludwig angina mimic.

    • Ranjan Pathak, Suzanne Supplee, Madan Raj Aryal, and Paras Karmacharya.
    • Department of Internal Medicine, Reading Health System, West Reading, PA, USA. Electronic address: ranjanrp@gmail.com.
    • Am J Otolaryngol. 2015 Jan 1;36(1):84-6.

    BackgroundSublingual hematoma is a rare but life-threatening complication of oral anticoagulants. It is important to differentiate this from infectious processes like Ludwig's angina. Securing the airway should be a priority and immediate reversal of anticoagulation with close monitoring is required.Case ReportWe present a case of sublingual hematoma secondary to warfarin therapy without airway compromise which was managed conservatively with reversal of INR with oral vitamin K.ConclusionAlthough rare, it is crucial to differentiate sublingual hematomas from infectious processes. Reversal of anticoagulation with low threshold for artificial airway placement in the event of airway compromise is the treatment of choice.Copyright © 2015 Elsevier Inc. All rights reserved.

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