{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:58:35Z","timestamp":1760029115687},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 67\u2010year\u2010old man was found dead, at his home. On external examination, we found a voluminous purplish black ecchymosis of the anterior neck area. On internal examination, we found a voluminous epiglottis hematoma completely obstructing the upper airway. It was associated with other sites of intra\u2010abdominal hemorrhage. Toxicological studies revealed the presence of warfarin at a concentration of 8.4\u00a0mg\/L in peripheral blood, which supposes an <jats:styled-content style=\"fixed-case\">INR<\/jats:styled-content> well above 4.5. To conclude, we supposed death was due to asphyxia secondary to a spontaneous epiglottic hematoma caused by a high blood concentration of warfarin. Hemorrhage in the epiglottis is very rare. To our knowledge, our patient is the only case of \u201csudden death\u201d reported with spontaneous epiglottic hematoma due to high blood concentration of warfarin. In forensic practice, an anterior neck ecchymosis, without trauma, may suggest hemorrhage into soft airway tissues. Pathology findings make it possible to exclude exogenous trauma.<\/jats:p>","DOI":"10.1111\/1556-4029.13384","type":"journal-article","created":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T07:56:39Z","timestamp":1496303799000},"page":"1094-1096","source":"Crossref","is-referenced-by-count":5,"title":["Sudden Death by Spontaneous Epiglottic Hematoma Secondary to High Blood Levels of Warfarin"],"prefix":"10.1111","volume":"62","author":[{"given":"S\u00e9verine","family":"Gilard\u2010Pioc","sequence":"first","affiliation":[{"name":"Forensic Medicine Department Dijon University Hospital Dijon F\u201021000 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Guerard","sequence":"additional","affiliation":[{"name":"Pharmacology and Toxicology Laboratory Dijon University Hospital Dijon F\u201021000 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Paraf","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine and Department of Pathology Dupuytren University Hospital 87042 Limoges France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ir\u00e8ne","family":"Fran\u00e7ois\u2010Purssell","sequence":"additional","affiliation":[{"name":"Forensic Medicine Department Dijon University Hospital Dijon F\u201021000 France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.42.2.128"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/102490791101800310"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.170606"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(03)00035-0"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1976.00780130099015"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.18.5.406"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.03.2011.3930"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(83)80424-7"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/201806"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0952-8180(01)00349-X"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022630"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90174-7"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2009.0278"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-0670"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpba.2006.03.019"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2003.09.006"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.95.2.5S"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1556-4029.13384","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.13384","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:16:00Z","timestamp":1695492960000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.13384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1111\/1556-4029.13384"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.13384","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}