Document Type : Original Article
Authors
- . Simin Dashti-Khavidaki 1
- . Saba Ghaffari 2
- . Mohsen Nassiri-Toossi 3
- . Mohsen Amini 4
- . Maryam Edalatifard 5
1 Nephrology Research Center, Tehran University of Medical Sciences, Tehran, Iran Department of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Clinical Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Gastroenterology, ImamKhomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Medicinal Chemistry, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Internal Medicine, Imam-Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Superwarfarin toxicity may be a serious problem. It needs high clinical suspicious in patients
with bleeding diathesis without hematologic or liver diseases even in patients with apparent
negative history of warfarin or other anticoagulant accessibility. Here we reported a
patient with a negative history of any medical diseases or drug administration who was
referred with generalized ecchymosis. Increased international normalized ratio and decreased
vitamin K‑dependent coagulation factors were detected in this patient. His hematologic and
liver evaluations were normal. Clinical pharmacist emphasis in taking history revealed using
anticoagulant rodenticide all over the farm the patient lived in that might result in unaware
intoxication in this patient who suffered dementia.
Keywords
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