Case Report
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Year 2022, Volume: 4 Issue: 2, 83 - 86, 29.04.2022
https://doi.org/10.46310/tjim.877214

Abstract

References

  • Porfidia A, Valeriani E, Pola R, Porreca E, Rutjes AWS, Di Nisio M. Venous thromboembolism in patients with COVID-19: Systematic review and meta-analysis. Thromb Res. 2020 Dec;196:67-74. doi: 10.1016/j. thromres.2020.08.020.
  • Thachil J, Srivastava A. SARS-2 Coronavirus-associated hemostatic lung abnormality in COVID-19: Is it pulmonary thrombosis or pulmonary embolism? Semin Thromb Hemost. 2020 Oct;46(7):777-80. doi: 10.1055/s-0040- 1712155.
  • Carfora V, Spiniello G, Ricciolino R, Di Mauro M, Migliaccio MG, Mottola FF, Verde N, Coppola N; Vanvitelli COVID-19 group. Anticoagulant treatment in COVID-19: a narrative review. J Thromb Thrombolysis. 2021 Apr;51(3):642-8. doi: 10.1007/s11239-020-02242-0.
  • Tirumani SH, Rahnemai-Azar AA, Pierce JD, Parikh KD, Martin SS, Gilkeson R, Ramaiya NH. Are asymptomatic gastrointestinal findings on imaging more common in COVID-19 infection? Study to determine frequency of abdominal findings of COVID-19 infection in patients with and without abdominal symptoms and in patients with chest-only CT scans. Abdom Radiol (NY). 2021 Jun;46(6):2407-14. doi: 10.1007/s00261-020-02920-w.
  • Poyiadji N, Cormier P, Patel PY, Hadied MO, Bhargava P, Khanna K, Nadig J, Keimig T, Spizarny D, Reeser N, Klochko C, Peterson EL, Song T. Acute pulmonary embolism and COVID-19. Radiology. 2020 Dec;297(3):E335-8. doi: 10.1148/radiol.2020201955.
  • Bompard F, Monnier H, Saab I, Tordjman M, Abdoul H, Fournier L, Sanchez O, Lorut C, Chassagnon G, Revel MP. Pulmonary embolism in patients with COVID-19 pneumonia. Eur Respir J. 2020 Jul 30;56(1):2001365. doi: 10.1183/13993003.01365-2020.

Acute pulmonary embolism in COVID-19 disease: Case Report

Year 2022, Volume: 4 Issue: 2, 83 - 86, 29.04.2022
https://doi.org/10.46310/tjim.877214

Abstract

Inflammation, cytokine storm and lung damage associated with COVID-19 can cause the initiation of the thromboembolic process in patients. The 73-year-old male patient applied with sudden-onset shortness of breath to the emergency department of our hospital. Physical examination revealed an SpO2 of 80% in room air, respiratory rate of 27/min. As the chest CT scan was compatible with COVID-19, the patient was admitted to the hospital and empirical treatment for COVID-19 was started, comprising of favipravir and dexamethasone. The RT-PCR of SARS-CoV-2 test resulted positive one day later. Due to the D-dimer value that was higher than expected in COVID-19, arterial blood gas compatible with thromboembolism, and the accompanying high lactate level, a CT angiogram was ordered and was compatible with pulmonary embolism, showing partial embolic filling defects in the lobar branches in the inferior lobes, and the lingular branch of the left lung. A closer investigation of pulmonary embolism in high-risk patients during the pandemics, and prescribing anticoagulant therapy starting on especially the first day of symptoms are vital to prevent potential complications of possible thromboembolism.

References

  • Porfidia A, Valeriani E, Pola R, Porreca E, Rutjes AWS, Di Nisio M. Venous thromboembolism in patients with COVID-19: Systematic review and meta-analysis. Thromb Res. 2020 Dec;196:67-74. doi: 10.1016/j. thromres.2020.08.020.
  • Thachil J, Srivastava A. SARS-2 Coronavirus-associated hemostatic lung abnormality in COVID-19: Is it pulmonary thrombosis or pulmonary embolism? Semin Thromb Hemost. 2020 Oct;46(7):777-80. doi: 10.1055/s-0040- 1712155.
  • Carfora V, Spiniello G, Ricciolino R, Di Mauro M, Migliaccio MG, Mottola FF, Verde N, Coppola N; Vanvitelli COVID-19 group. Anticoagulant treatment in COVID-19: a narrative review. J Thromb Thrombolysis. 2021 Apr;51(3):642-8. doi: 10.1007/s11239-020-02242-0.
  • Tirumani SH, Rahnemai-Azar AA, Pierce JD, Parikh KD, Martin SS, Gilkeson R, Ramaiya NH. Are asymptomatic gastrointestinal findings on imaging more common in COVID-19 infection? Study to determine frequency of abdominal findings of COVID-19 infection in patients with and without abdominal symptoms and in patients with chest-only CT scans. Abdom Radiol (NY). 2021 Jun;46(6):2407-14. doi: 10.1007/s00261-020-02920-w.
  • Poyiadji N, Cormier P, Patel PY, Hadied MO, Bhargava P, Khanna K, Nadig J, Keimig T, Spizarny D, Reeser N, Klochko C, Peterson EL, Song T. Acute pulmonary embolism and COVID-19. Radiology. 2020 Dec;297(3):E335-8. doi: 10.1148/radiol.2020201955.
  • Bompard F, Monnier H, Saab I, Tordjman M, Abdoul H, Fournier L, Sanchez O, Lorut C, Chassagnon G, Revel MP. Pulmonary embolism in patients with COVID-19 pneumonia. Eur Respir J. 2020 Jul 30;56(1):2001365. doi: 10.1183/13993003.01365-2020.
There are 6 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case Reports
Authors

Yıldız Okuturlar 0000-0002-1994-0014

Ramazan Gunes This is me 0000-0001-9996-3226

Beste Naz Çelik 0000-0003-0075-1552

Nicat Nasirov This is me 0000-0001-7324-6464

İftihar Köksal 0000-0003-4892-8935

Early Pub Date July 31, 2021
Publication Date April 29, 2022
Submission Date February 9, 2021
Acceptance Date November 3, 2021
Published in Issue Year 2022 Volume: 4 Issue: 2

Cite

EndNote Okuturlar Y, Gunes R, Çelik BN, Nasirov N, Köksal İ (April 1, 2022) Acute pulmonary embolism in COVID-19 disease: Case Report. Turkish Journal of Internal Medicine 4 2 83–86.

e-ISSN: 2687-4245 

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