Figaro Nicholas, Figaro Keegan, Seecheran Rajeev V, Seecheran Valmiki K, Giddings Stanley, Seecheran Naveen A
Otolaryngology, Eric Williams Medical Sciences Complex, Mt. Hope, TTO.
Internal Medicine, Eric Williams Medical Sciences Complex, Mt. Hope, TTO.
Cureus. 2022 Jul 11;14(7):e26740. doi: 10.7759/cureus.26740. eCollection 2022 Jul.
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.
路德维希咽峡炎是指累及口腔和下咽的暴发性蜂窝织炎，通常由细菌病原体引起，而“假性路德维希咽峡炎”则归因于非感染性原因导致的舌下肿胀。关于华法林作为模仿路德维希咽峡炎的舌下血肿病因的病例报告很少；然而，我们描述了一例阿哌沙班诱发的假性路德维希咽峡炎的新病例，该病例通过紧急手术干预以及抗生素和糖皮质激素治疗的支持性护理得以成功处理。
