1. [Managing Superwarfarin Poisoning: A Challenging Case].
- Author
-
Zavadzki G, Inzunza Robles J, San Martín MF, Gutiérrez Torres W, Ramos-Rojas JT, Gauna-Cordero J, and Bigossi Aguiar N
- Subjects
- Humans, Male, Adult, 4-Hydroxycoumarins poisoning, Vitamin K therapeutic use, Rodenticides poisoning, Suicide, Attempted, Anticoagulants poisoning
- Abstract
Human intoxication by long-acting anticoagulant rodenticides, known as superwarfarins, causes coagulopathy that is difficult to manage. We present the case of a 42-year-old man who ingested a toxic dose of rodenticide in a suicide attempt, evolving with epistaxis, INR of 11.6, and needing hospitalization. For seven days, serial controls of coagulation tests were carried out, with optimization of different doses of Vitamin K supplementation. The case highlights this type of anticoagulant's potency and prolonged half-life (approximately six weeks), which requires regular clinical control and satisfactory treatment adherence.
- Published
- 2023
- Full Text
- View/download PDF