تقرير
Extensive Pulmonary Embolism Following Mild COVID-19 Pneumonia.
| العنوان: | Extensive Pulmonary Embolism Following Mild COVID-19 Pneumonia. |
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| المؤلفون: | Barnawi RM; Medicine, King Saud University, Riyadh, SAU., Alsulami TA; Medicine, Debrecen University, Debrecen, HUN., Alzahrani WA; Medicine, Taif University, Taif, SAU., Alsharif AM; Medicine, Almmarefa University, Riyadh, SAU., Alsalaim MA; Medicine, Najran University, Najran, SAU., Alqazlan ZA; Medicine, Qassim University, Qassim, SAU., Aljawi MA; Medicine, Taif Universty, Taif, SAU., Alghamdi AH; Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU., Alzubaidi MA; Medicine, Jordan University of Science and Technology, Irbid, JOR., Alqaysum ZA; Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Alabbad HA; Medicine, King Faisal Uneversity, Hofuf, SAU., Aljubour ZA; Medicine, Almareefa University, Riyadh, SAU., Albannawi GA; Medicine, Jordan University of Science and Technology, Irbid, JOR., Alfaqih MM; Medicine, Umm Al-Qura University, Mecca, SAU., Al-Hawaj F; Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU. |
| المصدر: | Cureus [Cureus] 2022 Jan 19; Vol. 14 (1), pp. e21436. Date of Electronic Publication: 2022 Jan 19 (Print Publication: 2022). |
| نوع المنشور: | Case Reports; Retracted Publication |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Palo Alto, CA : Cureus, Inc. |
| مستخلص: | The coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and predominantly manifests with respiratory symptoms. However, it may have a wide range of complications, including hematological complications. Several studies demonstrated that patients with COVID-19 exhibit a wide range of complex abnormalities of the coagulation system. We report the case of a 22-year-old man who presented to our emergency department with a cough and fever for one week. His vital signs were normal. Since the patient was young and mildly symptomatic, he was offered the option of home isolation for seven days. Two weeks later, the patient presented to the emergency department complaining of sudden shortness of breath that was associated with chest pain. The oxygen saturation was 92% on room air. The patient underwent computed tomography pulmonary angiography. The scan showed a centric filling defect in the main right and left pulmonary arteries representing pulmonary embolism. Further, the scan showed a thrombus in the inferior vena cava that was the source of bilateral pulmonary embolism. The patient was admitted to the intensive care unit. He received full anticoagulation with heparin. After recovery, he underwent a thrombophilia screen, which yielded normal findings. The present case demonstrated that thromboembolic events may develop even after the recovery from mild COVID-19 pneumonia. In the appropriate clinical settings, physicians should maintain a high index of suspicion of coagulopathy in any patient with recent COVID-19 pneumonia. Further studies are needed to determine the indication and duration of the thromboprophylaxis following the recovery from COVID-19. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Barnawi et al.) |
| التعليقات: | Expression of concern in: Cureus. 2022 Apr 7;14(4):x54. (PMID: 35463604) Retraction in: Cureus. 2024 Jan 25;16(1):r132. (PMID: 38274605) |
| References: | Lancet. 2022 Jan 1;399(10319):50-59. (PMID: 34921756) Histopathology. 2020 Aug;77(2):198-209. (PMID: 32364264) Blood. 2020 Sep 10;136(11):1342-1346. (PMID: 32766883) TH Open. 2021 Jul 06;5(3):e286-e294. (PMID: 34240001) J Thromb Haemost. 2020 Sep;18(9):2103-2109. (PMID: 32558075) Aging (Albany NY). 2020 Nov 24;12(24):24535-24551. (PMID: 33229625) Lung India. 2021 Mar;38(Supplement):S53-S57. (PMID: 33686980) JAMA. 2020 Aug 25;324(8):799-801. (PMID: 32702090) |
| فهرسة مساهمة: | Keywords: case report; coagulopathy; covid-19; inferior vena cava thrombosis; pulmonary embolism; thrombosis |
| تواريخ الأحداث: | Date Created: 20220224 Latest Revision: 20240126 |
| رمز التحديث: | 20240126 |
| مُعرف محوري في PubMed: | PMC8857318 |
| DOI: | 10.7759/cureus.21436 |
| PMID: | 35198333 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2168-8184 |
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| DOI: | 10.7759/cureus.21436 |