{"id":"https://openalex.org/W3122235781","doi":"https://doi.org/10.7759/cureus.12741","title":"Tongue Hematoma With Necrosis","display_name":"Tongue Hematoma With Necrosis","publication_year":2021,"publication_date":"2021-01-16","ids":{"openalex":"https://openalex.org/W3122235781","doi":"https://doi.org/10.7759/cureus.12741","mag":"3122235781","pmid":"https://pubmed.ncbi.nlm.nih.gov/33614342","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7883558"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.12741","doi":"https://doi.org/10.7759/cureus.12741","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.12741","pdf_url":"https://www.cureus.com/articles/49518-tongue-hematoma-with-necrosis.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/49518-tongue-hematoma-with-necrosis.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078691414","display_name":"Jerina Nogueira","orcid":"https://orcid.org/0000-0001-9349-7594","observed_orcids":["https://orcid.org/0000-0001-9349-7594"]},"institutions":[{"id":"https://openalex.org/I4405259716","display_name":"Hospital Dr Jos\u00e9 Maria Grande","ror":"https://ror.org/02kspxs30","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405259716"]},{"id":"https://openalex.org/I4405261815","display_name":"Unidade Local de Sa\u00fade do Norte Alentejano EPE","ror":"https://ror.org/05x24c339","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261815"]}],"countries":["PT"],"is_corresponding":true,"raw_author_name":"Jerina Nogueira","raw_affiliation_strings":["Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT","institution_ids":["https://openalex.org/I4405259716","https://openalex.org/I4405261815"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036122960","display_name":"Ana Rita Parente","orcid":"https://orcid.org/0000-0002-2930-8047","observed_orcids":["https://orcid.org/0000-0002-2930-8047"]},"institutions":[{"id":"https://openalex.org/I4405259716","display_name":"Hospital Dr Jos\u00e9 Maria Grande","ror":"https://ror.org/02kspxs30","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405259716"]},{"id":"https://openalex.org/I4405261815","display_name":"Unidade Local de Sa\u00fade do Norte Alentejano EPE","ror":"https://ror.org/05x24c339","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261815"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Ana Rita Parente","raw_affiliation_strings":["Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT","institution_ids":["https://openalex.org/I4405259716","https://openalex.org/I4405261815"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107946888","display_name":"Andr\u00e9 Mendes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405259716","display_name":"Hospital Dr Jos\u00e9 Maria Grande","ror":"https://ror.org/02kspxs30","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405259716"]},{"id":"https://openalex.org/I4405261815","display_name":"Unidade Local de Sa\u00fade do Norte Alentejano EPE","ror":"https://ror.org/05x24c339","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261815"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Andr\u00e9 Mendes","raw_affiliation_strings":["Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT","institution_ids":["https://openalex.org/I4405259716","https://openalex.org/I4405261815"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5060729592","display_name":"Isabel Lavadinho","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405259716","display_name":"Hospital Dr Jos\u00e9 Maria Grande","ror":"https://ror.org/02kspxs30","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405259716"]},{"id":"https://openalex.org/I4405261815","display_name":"Unidade Local de Sa\u00fade do Norte Alentejano EPE","ror":"https://ror.org/05x24c339","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261815"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Isabel Lavadinho","raw_affiliation_strings":["Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine Department, Unidade Local de Sa\u00fade do Norte Alentejano - Hospital Dr. Jos\u00e9 Maria Grande, Portalegre, PRT","institution_ids":["https://openalex.org/I4405259716","https://openalex.org/I4405261815"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5078691414"],"corresponding_institution_ids":["https://openalex.org/I4405259716","https://openalex.org/I4405261815"],"apc_list":null,"apc_paid":null,"fwci":0.2278,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.44801752,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"13","issue":"1","first_page":"e12741","last_page":"e12741"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13878","display_name":"Case Reports on Hematomas","score":0.9726999998092651,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13878","display_name":"Case Reports on Hematomas","score":0.9726999998092651,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.012199999764561653,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.0038999998942017555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tongue-necrosis","display_name":"tongue necrosis","score":0.9430000185966492},{"id":"https://openalex.org/keywords/warfarin","display_name":"warfarin","score":0.8579999804496765},{"id":"https://openalex.org/keywords/drug-drug-interactions","display_name":"drug-drug interactions","score":0.7310000061988831},{"id":"https://openalex.org/keywords/inr-elevation","display_name":"INR elevation","score":0.8190000057220459},{"id":"https://openalex.org/keywords/oral-candidiasis","display_name":"oral candidiasis","score":0.8849999904632568},{"id":"https://openalex.org/keywords/oral-bleeding","display_name":"oral bleeding","score":0.7390000224113464},{"id":"https://openalex.org/keywords/dysphagia","display_name":"dysphagia","score":0.9340000152587891},{"id":"https://openalex.org/keywords/vitamin-k","display_name":"vitamin K","score":0.7770000100135803},{"id":"https://openalex.org/keywords/fresh-frozen-plasma","display_name":"fresh frozen plasma","score":0.8859999775886536},{"id":"https://openalex.org/keywords/epsilon-aminocaproic-acid","display_name":"epsilon-aminocaproic acid","score":0.9919999837875366},{"id":"https://openalex.org/keywords/direct-oral-anticoagulants","display_name":"direct oral anticoagulants","score":0.8859999775886536},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.5389999747276306}],"concepts":[{"id":"https://openalex.org/C2776301958","wikidata":"https://www.wikidata.org/wiki/Q407431","display_name":"Warfarin","level":3,"score":0.947333574295044},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8590341806411743},{"id":"https://openalex.org/C2777229883","wikidata":"https://www.wikidata.org/wiki/Q410534","display_name":"Miconazole","level":3,"score":0.6027274131774902},{"id":"https://openalex.org/C66112548","wikidata":"https://www.wikidata.org/wiki/Q1225698","display_name":"Fresh frozen plasma","level":3,"score":0.6011697053909302},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.560314416885376},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.53745037317276},{"id":"https://openalex.org/C2779744641","wikidata":"https://www.wikidata.org/wiki/Q9614","display_name":"Tongue","level":2,"score":0.5117578506469727},{"id":"https://openalex.org/C2776494729","wikidata":"https://www.wikidata.org/wiki/Q1848900","display_name":"Contraindication","level":3,"score":0.44531822204589844},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4284447431564331},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.4227559566497803},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.42077717185020447},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2705515921115875},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.12783455848693848},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.07148796319961548},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C89560881","wikidata":"https://www.wikidata.org/wiki/Q101026","display_name":"Platelet","level":2,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C2779548794","wikidata":"https://www.wikidata.org/wiki/Q578726","display_name":"Antifungal","level":2,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.12741","doi":"https://doi.org/10.7759/cureus.12741","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.12741","pdf_url":"https://www.cureus.com/articles/49518-tongue-hematoma-with-necrosis.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:33614342","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33614342","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:7883558","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7883558/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.12741","doi":"https://doi.org/10.7759/cureus.12741","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.12741","pdf_url":"https://www.cureus.com/articles/49518-tongue-hematoma-with-necrosis.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3122235781.pdf","grobid_xml":"https://content.openalex.org/works/W3122235781.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W124172660","https://openalex.org/W1916099889","https://openalex.org/W1978586416","https://openalex.org/W1984119165","https://openalex.org/W2007737071","https://openalex.org/W2049192998","https://openalex.org/W2113718131","https://openalex.org/W2154482368","https://openalex.org/W2167713426","https://openalex.org/W2317603205","https://openalex.org/W2462727964","https://openalex.org/W2557916595","https://openalex.org/W4247053362"],"related_works":["https://openalex.org/W2316558131","https://openalex.org/W2086987406","https://openalex.org/W7099874368","https://openalex.org/W3135359331","https://openalex.org/W2972451332","https://openalex.org/W2007524661","https://openalex.org/W7212908939","https://openalex.org/W2413673451","https://openalex.org/W2167713426","https://openalex.org/W2211627154"],"abstract_inverted_index":{"Spontaneous":[0],"tongue":[1,69],"hematoma":[2,70],"is":[3,15,114,176],"a":[4,16,28,43,86,121,169],"known":[5,140,158],"rare":[6,122],"adverse":[7,123],"side":[8,124],"effect":[9,125],"associated":[10],"with":[11,22,52,79,99,135,161],"warfarin":[12,23,62,128,162,167],"therapy.":[13,63],"There":[14],"long":[17],"list":[18],"of":[19,39,45,120,138,153],"drug-to-drug":[20,159],"interactions":[21,160],"that":[24,130],"may":[25,131],"contribute":[26,142],"to":[27,67,117,127,141,143],"rise":[29],"in":[30],"international":[31],"normalized":[32],"ratio":[33],"(INR)":[34],"levels,":[35],"increasing":[36],"the":[37,136],"risk":[38],"bleeding.":[40],"We":[41],"present":[42],"case":[44],"an":[46],"elderly":[47],"female":[48],"patient":[49],"who":[50],"presented":[51],"oral":[53,57,83,171],"dysphagia":[54],"and":[55,71,85,106,163],"spontaneous":[56],"cavity":[58],"bleeding":[59],"while":[60],"on":[61],"She":[64],"was":[65,92,96,111],"found":[66],"have":[68,132],"necrosis.":[72],"A":[73],"week":[74],"prior":[75],"she":[76],"started":[77],"treatment":[78],"topical":[80,90],"miconazole":[81],"for":[82,168],"candidiasis":[84],"few":[87],"days":[88],"later":[89],"clarithromycin":[91],"added.":[93],"Treatment":[94],"given":[95],"mainly":[97],"supportive":[98],"intravenous":[100],"vitamin":[101],"K,":[102],"fresh":[103],"frozen":[104],"plasma,":[105],"aminocaproic":[107],"acid.":[108],"Full":[109],"recovery":[110],"achieved.":[112],"It":[113],"our":[115],"intention":[116],"raise":[118],"awareness":[119],"related":[126],"therapy":[129],"been":[133],"precipitated":[134],"use":[137],"medications":[139],"INR":[144,154],"elevation.":[145],"As":[146],"learning":[147],"points,":[148],"we":[149],"emphasize":[150],"close":[151],"monitoring":[152],"levels":[155],"when":[156],"using":[157],"also":[164],"consider":[165],"replacing":[166],"direct":[170],"anticoagulant":[172],"if":[173],"no":[174],"contraindication":[175],"present.":[177]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2021-02-01T00:00:00"}
