Apixaban-Induced Pseudo-Ludwig’s Angina

Ludwig’s angina describes fulminant cellulitis involving the oro- and hypopharynx, which typically stems from bacterial pathogens, whereas “pseudo-Ludwig’s angina” is ascribed to sublingual swelling due to noninfectious causes. There is a paucity of case reports implicating warfarin as the culprit f...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-07, Vol.14 (7)
Main Authors: Figaro, Nicholas, Figaro, Keegan, Seecheran, Rajeev V, Seecheran, Valmiki K, Giddings, Stanley, Seecheran, Naveen A
Format: Article
Language:English
Subjects:
Airway management
Angina pectoris
Antibiotics
Anticoagulants
Bacterial infections
Cardiac arrhythmia
Cardiology
Case reports
Cellulitis
Creatinine
Diabetes
General anesthesia
Heart failure
Hematoma
Hypertension
Infections
Infectious Disease
Kidney diseases
Laboratories
Mortality
Ostomy
Sepsis
Severe acute respiratory syndrome coronavirus 2
Stroke
Therapeutics
Tomography
Tracheotomy
Ultrasonic imaging
Ventilators
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Description
Summary:Ludwig’s angina describes fulminant cellulitis involving the oro- and hypopharynx, which typically stems from bacterial pathogens, whereas “pseudo-Ludwig’s angina” is ascribed to sublingual swelling due to noninfectious causes. There is a paucity of case reports implicating warfarin as the culprit for sublingual hematoma mimicking Ludwig’s angina; however, we describe a novel case of apixaban-induced pseudo-Ludwig’s angina, which was successfully managed with urgent surgical intervention and supportive care with antibiotic and glucocorticoid therapy.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.26740