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{
    "pk": 20386,
    "title": "Successful Management of Pseudo-Ludwig Angina from Supratherapeutic Warfarin Use: A Case Report",
    "subtitle": null,
    "abstract": "<p style=\"line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt;\"><strong>Introduction</strong>: Ludwig angina is a potentially fatal condition characterized by soft tissue infection of the submandibular, sublingual, and submental compartments. Pseudo-Ludwig angina is a rare condition characterized by sublingual swelling of non-infectious etiology, typically in the setting of supratherapeutic anticoagulation.</p>\n<p style=\"line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt;\">However, other etiologies, such as angioedema and trauma, have been described.</p>\n<p style=\"line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt;\"> </p>\n<p style=\"line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt;\"><strong>Case Report: </strong>We present the case of a 59-year-old female with pseudo-Ludwig angina that developed in the setting of warfarin therapy and supratherapeutic international normalized ratio. She presented with sublingual swelling and dysphagia. She was successfully treated with dexamethasone, vitamin K, and fresh frozen plasma. The most appropriate imaging modalities in these cases are contrast-enhanced computed tomography (CT) and CT angiogram. If a hematoma is present, antibiotics for anaerobic coverage are also appropriate.</p>\n<p style=\"line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt;\"> </p>\n<p style=\"line-height: 1.8; margin-top: 0pt; margin-bottom: 0pt;\"><strong>Conclusion</strong>: We hope this case sheds light upon this rare pathology and ultimately hastens recognition and proper intervention.</p>\n<p><span id=\"docs-internal-guid-3d5b77c3-7fff-7728-0274-e321aa0f4f7b\" style=\"color: rgb(0, 0, 0);\"></span></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Warfarin"
        },
        {
            "word": "anticoagulation"
        },
        {
            "word": "pseudo-Ludwig's angina"
        },
        {
            "word": "hematoma"
        },
        {
            "word": "case report"
        },
        {
            "word": "sublingual hematoma"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/93v8g0kz",
    "frozenauthors": [
        {
            "first_name": "Utku",
            "middle_name": "",
            "last_name": "Ekin",
            "name_suffix": "",
            "institution": "St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey",
            "department": ""
        },
        {
            "first_name": "Arham",
            "middle_name": "",
            "last_name": "Hazari",
            "name_suffix": "",
            "institution": "St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey",
            "department": ""
        },
        {
            "first_name": "Nizar",
            "middle_name": "",
            "last_name": "Alyassin",
            "name_suffix": "",
            "institution": "St. Joseph’s University Medical Center, Department of Internal Medicine, Paterson, New Jersey",
            "department": ""
        },
        {
            "first_name": "Alan",
            "middle_name": "",
            "last_name": "Alcantara",
            "name_suffix": "",
            "institution": "St. Joseph’s University Medical Center, Department of Internal Medicine, Paterson, New Jersey",
            "department": ""
        },
        {
            "first_name": "Moh'd",
            "middle_name": "Hazem",
            "last_name": "Azzam",
            "name_suffix": "",
            "institution": "St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey",
            "department": ""
        },
        {
            "first_name": "Mourad",
            "middle_name": "",
            "last_name": "Ismail",
            "name_suffix": "",
            "institution": "St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey",
            "department": ""
        }
    ],
    "date_submitted": "2024-08-09T03:00:46.938000-07:00",
    "date_accepted": "2024-12-10T09:46:34.113000-07:00",
    "date_published": "2025-01-19T15:45:00-07:00",
    "render_galley": null,
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            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/20386/galley/31538/download/"
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}