Evidence map›Paper›PMID 38455693›Full record

ArticleEuropean journal of case reports in internal medicine2024

Pseudo-Ludwig's Angina: Spontaneous Sublingual Haematoma Elicited by Warfarin.

Nagihan Orhun, Utku Ekin, Jessimar Sanchez, Moh'd Hazem Azzam, Rajapriya Manickam

Open access · goldAbstract read
In one paragraph

Article in European journal of case reports in internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 44% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Nagihan OrhunDepartment of Internal Medicine, St. Joseph's University Medical Center, Paterson, USA.
Utku EkinDepartment of Pulmonary and Critical Care Medicine, St. Joseph's University Medical Center, Paterson, USA.
Jessimar SanchezDepartment of Pulmonary and Critical Care Medicine, St. Joseph's University Medical Center, Paterson, USA.
Moh'd Hazem AzzamDepartment of Pulmonary and Critical Care Medicine, St. Joseph's University Medical Center, Paterson, USA.
Rajapriya ManickamDepartment of Pulmonary and Critical Care Medicine, St. Joseph's University Medical Center, Paterson, USA.
St. Joseph’s University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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). LEARNING POINTS: Sublingual haematomas, though uncommon, represent potentially serious complications arising from warfarin therapy.Distinguishing sublingual haematomas from infectious processes requires a high level of clinical suspicion and is crucial for prompt management.The preferred course of action involves reversing anticoagulation with a low threshold for implementing an artificial airway in cases of compromised airways.

Indexed as

Pseudo-Ludwig’s anginasublingual haematomaupper airway bleedingwarfarin

Identifiers

PMID38455693
PMCPMC10917414
OpenAlexW4391754097

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.