Cargando…

COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection

Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and C...

Descripción completa

Detalles Bibliográficos
Autores principales: Casey, Kyla, Iteen, Alexander, Nicolini, Reese, Auten, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: W B Saunders 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141630/
https://www.ncbi.nlm.nih.gov/pubmed/32312574
http://dx.doi.org/10.1016/j.ajem.2020.04.011
_version_ 1783519230450204672
author Casey, Kyla
Iteen, Alexander
Nicolini, Reese
Auten, Jonathan
author_facet Casey, Kyla
Iteen, Alexander
Nicolini, Reese
Auten, Jonathan
author_sort Casey, Kyla
collection PubMed
description Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections.
format Online
Article
Text
id pubmed-7141630
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher W B Saunders
record_format MEDLINE/PubMed
spelling pubmed-71416302020-04-09 COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection Casey, Kyla Iteen, Alexander Nicolini, Reese Auten, Jonathan Am J Emerg Med Article Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections. W B Saunders 2020-07 2020-04-08 /pmc/articles/PMC7141630/ /pubmed/32312574 http://dx.doi.org/10.1016/j.ajem.2020.04.011 Text en Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Casey, Kyla
Iteen, Alexander
Nicolini, Reese
Auten, Jonathan
COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
title COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
title_full COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
title_fullStr COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
title_full_unstemmed COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
title_short COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
title_sort covid-19 pneumonia with hemoptysis: acute segmental pulmonary emboli associated with novel coronavirus infection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141630/
https://www.ncbi.nlm.nih.gov/pubmed/32312574
http://dx.doi.org/10.1016/j.ajem.2020.04.011
work_keys_str_mv AT caseykyla covid19pneumoniawithhemoptysisacutesegmentalpulmonaryemboliassociatedwithnovelcoronavirusinfection
AT iteenalexander covid19pneumoniawithhemoptysisacutesegmentalpulmonaryemboliassociatedwithnovelcoronavirusinfection
AT nicolinireese covid19pneumoniawithhemoptysisacutesegmentalpulmonaryemboliassociatedwithnovelcoronavirusinfection
AT autenjonathan covid19pneumoniawithhemoptysisacutesegmentalpulmonaryemboliassociatedwithnovelcoronavirusinfection