PT  - JOURNAL ARTICLE
AU  - Ariadna de Genover Gil
AU  - Gabriel Manuel Gonzalez Suarez
AU  - Carla Moret Puig
AU  - Abelardo Hurtado Ganoza
TI  - Superwarfarin poisoning: challenges still remain
AID  - 10.1136/bcr-2021-248385
DP  - 2022 May 01
TA  - BMJ Case Reports
PG  - e248385
VI  - 15
IP  - 5
4099  - http://casereports.bmj.com/content/15/5/e248385.short
4100  - http://casereports.bmj.com/content/15/5/e248385.full
SO  - BMJ Case Reports2022 May 01; 15
AB  - Superwarfarin (long-acting anticoagulant rodenticide) poisoning should be suspected in unexplained bleeding with prolonged prothrombin time, especially in the absence of another explanation. Diagnosis and treatment of this intoxication remain a challenge as the direct analysis of superwarfarin in serum is not always possible. Therefore, toxin bioavailability remains unknown and close monitoring and treatment for long periods are required to avoid serious bleeding complications. Here, we discuss a case of suspected superwarfarin poisoning to highlight the challenges in early diagnosis and the challenges we encountered in treatment management and ensuring compliance for long periods.