Ischaemic necrosis of the tongue as a rare complication of cardiogenic shock

Abstract

Ischaemic necrosis of the tongue is an unusual clinical finding. In most cases it is associated with vasculitis, particularly giant cell arteritis (GCA). Other causes include profound cardiogenic shock. We report a case of tongue necrosis in an 81-year-old Caucasian woman. The patient was admitted to the intensive care unit (ICU) for cardiogenic shock. Swelling of the tongue was reported before intubation and evolved into tongue ischaemia and necrosis of the tip of the tongue. After surgical debridement the patient recovered. To our knowledge, this is the second report of a patient surviving tongue necrosis resulting from cardiogenic shock.

• Tongue
• Ischaemia
• Necrosis
• Cardiogenic shock

Disclaimer Statements

Contributors EH performed the literature search and drafted the manuscript. ER and A-SB took the photographs of the patient. All authors have reviewed the manuscript and provided the clinical care for the patient.

FundingNone.

Conflicts of interest The authors have declared no conflict of interest.

Ethics approval No Ethics Committee review was obtained.

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