Cutaneous Exposure to Warfarin-Like Anticoagulant Causing an Intracerebral Hemorrhage: A case Report

Abstract

A case of intercerebral hematoma due to warfarin-induced coagulopathy is presented. The 39-year-old woman had spread a warfarin-type rat poison around her house weekly using her bare hands, with no washing post application. Percutaneous absorption of warfarin causing coagulopathy, reported three times in the past, is a significant risk if protective measures, such as gloves, are not used. An adverse drug interaction with piroxicam, which she took occasionally, may have exacerbated the coagulopathy.

KEY WORDS:

• poisoning
• human
• warfarin
• coagulopathy