A Case Report of Preference for Anticoagulant Therapy

Abstract

Clinicians should start with a broad-spectrum antibiotic therapy with anaerobic cover until the organism and its sensitivity has been determined, however penicillin in combination with metronidazole or clindamycin monotherapy is usually preferred. In conclusion anticoagulation remains controversial in the management of thrombotic complications from head and neck infections, and further research is required to establish evidence for consensus in the antithrombotic therapy. Therefore, anticoagulation should be carried out in absence of any contraindication or presumed risk following clinical anticoagulation guidelines and only in patients with poor clinical response despite antibiotics therapy, predisposing thrombophilia and intracranial thrombosis.