Tongue hematoma and psychomotor agitation in the course of alcohol use disorder - case report

Stanicki Paweł, Dobosz Maciej, Piecewicz-Szczęsna Halina. Tongue hematoma and psychomotor agitation in the course of alcohol use disorder - case report. Journal of Education, Health and Sport. 2019;9(9):734-738. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3459120 http://ojs.ukw.edu.pl/index.php/johs/article/view/7512 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 25.08.2019. Revised: 31.08.2019. Accepted: 22.09.2019. Tongue hematoma and psychomotor agitation in the course of alcohol use disorder - case report Paweł Stanicki1, Maciej Dobosz1, Halina Piecewicz-Szczęsna2 1Student Research Circle at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin 2Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin ORCID ID: Paweł Stanicki: https://orcid.org/0000-0002-4942-9030 Maciej Dobosz: https://orcid.org/0000-0002-4413-3310 Halina Piecewicz-Szczęsna: https://orcid.org/0000-0002-0573-7226 ABSTRACT Excessive alcohol consumption can have many repercussions. Cirrhosis, injuries and infectious diseases are the most common. The following case report shows a patient admitted to the emergency department due to swelling of the tongue that prevented speaking. Laboratory tests showed elevated levels of markers of liver damage: AST, GGTP, total bilirubin, CRP. Prolonged INR, APTT and platelet deficiency were also discovered. This indicated bleeding due to alcoholic cirrhosis as a diagnosis. The patient was given, among others, diuretics and corticosteroids, after which a decrease in hematoma has been observed. The patient was transported to the Otolaryngology Department. On the same day he attacked the doctor and freed himself from physical coercion which was applied. As a result of these events he was transferred to a neuropsychiatric hospital. Described case indicates a correlation between a deficiency of coagulation factors and the formation of a hematoma of the tongue. It also emphasizes the importance of being cautious about patients who may experience sudden changes in behavior for neurological reasons. Keywords: tongue diseases; hematoma; psychomotor agitation; alcohol use disorde