The differential diagnosis of tongue swelling

Excerpt

A 44-year-old-man was found lying lifeless on the kitchen floor in his apartment. The emergency medical doctor who attended certified his death immediately. He hypothesized that death was caused by an anaphylactic reaction as a result of ingesting strawberries as their stems were found in the kitchen sink, and the man’s tongue showed remarkable swelling. When the man was found, his underpants and trousers were wet with urine (urinary incontinence). Relatives reported, however, that the man was not allergic to any foods or medications. Except for hypertension under medical treatment, he had no notable clinical medical history, including psychotic disorders and epilepsy. In addition, he did not bite his nails. …