https://doi.org/10.4081/ecj.2024.12373

A slow and dangerous swelling of the tongue and the face

Vol. 20 No. 2 (2024)
Submitted: 9 February 2024
Accepted: 22 February 2024
Published: 11 March 2024
Angioedema, angiotensin‐converting enzyme inhibitor, anaphylaxis, Icatibant, bradykinin
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Authors

Erika Poggiali
poggiali.erika@gmail.com
Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.
Laura Pagani
Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.
Benedetta Pergolotti
Intensive Care Unit, Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.
Andrea Vercelli
Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy.

A 91-year-old man presented at our emergency room complaining of sialorrhea and facial edema, especially around his lips and palpebral region. The symptoms started in the morning and got worse over two hours. He had a history of hypertension and hypokinetic ischemic cardiomyopathy treated with ramipril, doxazosin, aspirin, furosemide, amiodarone, ranolazine, atorvastatin, and pantoprazole. He referred an allergy to clopidogrel. He did not introduce any novel medications or foods. His vital signs were BP 150/70, HR 57 bpm, sO2 97% in room ambient, RR 18/min, and BT 36.4 °C. He presented a severe edema of the tongue with tirage and cornage. He was immediately treated IV with hydrocortisone 1 g chlorpheniramine maleate 10 mg, and icatibant 30 mg SC and he was intubated through the nose.

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How to Cite

Poggiali, E., Pagani, L., Pergolotti, B., & Vercelli, A. (2024). A slow and dangerous swelling of the tongue and the face. Emergency Care Journal, 20(2). https://doi.org/10.4081/ecj.2024.12373
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