An unexpected case of coumarin poisoning with coumatetralyl

A healthy man in his 40s presented with a 1-month history of haemoptysis and was unexpectedly found to have an elevated international normalised ratio (INR). He denied any known exposures to anticoagulants. Testing for the possible aetiologies of a high INR revealed coumarin poisoning with coumatetr...

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Veröffentlicht in:BMJ case reports 2011-04, Vol.2011 (apr12 1), p.bcr0520102992-bcr0520102992
Hauptverfasser: Kay, Amin, Chiu, Leo, Chong, Christopher AKY
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Sprache:eng
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Zusammenfassung:A healthy man in his 40s presented with a 1-month history of haemoptysis and was unexpectedly found to have an elevated international normalised ratio (INR). He denied any known exposures to anticoagulants. Testing for the possible aetiologies of a high INR revealed coumarin poisoning with coumatetralyl as the cause. The approach to an elevated INR and management and diagnosis of suspected coumarin poisoning is reviewed.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.05.2010.2992