title: Lingual haematoma following treatment with streptokinase and heparin; anaesthetic management.
abstract: A 79-year-old man with a diagnosis of myocardial infarction treated with streptokinase and heparin developed a large lingual haematoma, precipitating dysphagia and upper airway obstruction. Spontaneous haemorrhage into the tongue is a previously unreported but serious complication of thrombolytic therapy. Tracheal intubation was performed under local anaesthesia.
authors.affiliation: Department of Anaesthesia, Guy's Hospital, London.
authors.forename: P J
authors.initials: PJ
authors.lastname: Williams
authors.forename: P
authors.initials: P
authors.lastname: Jani
authors.forename: J
authors.initials: J
authors.lastname: McGlashan
mesh_terms: D000368:Aged; D004359:Drug Therapy, Combination; D006406:Hematoma / Q000139:chemically induced* / Q000473:pathology; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013300:Streptokinase / Q000009:adverse effects*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014059:Tongue / Q000473:pathology; D014060:Tongue Diseases / Q000139:chemically induced* / Q000473:pathology
chemical_list: D006493:Heparin; D013300:Streptokinase