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Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia
A 53-year-old man with diabetes came to the emergency department with fever and dry cough for 5 days, swelling of the left leg for 2 days, shortness of breath and chest pain for 1 hour. He had raised temperature, tachycardia, tachypnoea, reduced oxygen saturation and swollen tender left leg on exami...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813340/ https://www.ncbi.nlm.nih.gov/pubmed/33452066 http://dx.doi.org/10.1136/bcr-2020-240932 |
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author | Devi, Sujata Mohakud, Sudipta Kar, Nilanjan Muthuvel, Divya |
author_facet | Devi, Sujata Mohakud, Sudipta Kar, Nilanjan Muthuvel, Divya |
author_sort | Devi, Sujata |
collection | PubMed |
description | A 53-year-old man with diabetes came to the emergency department with fever and dry cough for 5 days, swelling of the left leg for 2 days, shortness of breath and chest pain for 1 hour. He had raised temperature, tachycardia, tachypnoea, reduced oxygen saturation and swollen tender left leg on examination. The frontal chest radiograph showed bilateral ground-glass opacities; he tested positive for COVID-19 with elevated D-dimer. The colour Doppler examination of the left leg revealed acute deep vein thrombosis (DVT) of the common femoral and the popliteal veins. The chest CT showed bilateral diffuse ground-glass opacities predominantly involving peripheral zones and the lower lobes. The CTPA revealed left pulmonary thromboembolism (PTE), treated with low-molecular-weight heparin. COVID-19 predominantly affects the respiratory system. DVT and PTE are common in COVID-19 but lethal. They should be diagnosed early by clinical and radiological examinations and treated promptly with anticoagulants. |
format | Online Article Text |
id | pubmed-7813340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-78133402021-01-25 Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia Devi, Sujata Mohakud, Sudipta Kar, Nilanjan Muthuvel, Divya BMJ Case Rep Case Report A 53-year-old man with diabetes came to the emergency department with fever and dry cough for 5 days, swelling of the left leg for 2 days, shortness of breath and chest pain for 1 hour. He had raised temperature, tachycardia, tachypnoea, reduced oxygen saturation and swollen tender left leg on examination. The frontal chest radiograph showed bilateral ground-glass opacities; he tested positive for COVID-19 with elevated D-dimer. The colour Doppler examination of the left leg revealed acute deep vein thrombosis (DVT) of the common femoral and the popliteal veins. The chest CT showed bilateral diffuse ground-glass opacities predominantly involving peripheral zones and the lower lobes. The CTPA revealed left pulmonary thromboembolism (PTE), treated with low-molecular-weight heparin. COVID-19 predominantly affects the respiratory system. DVT and PTE are common in COVID-19 but lethal. They should be diagnosed early by clinical and radiological examinations and treated promptly with anticoagulants. BMJ Publishing Group 2021-01-15 /pmc/articles/PMC7813340/ /pubmed/33452066 http://dx.doi.org/10.1136/bcr-2020-240932 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage |
spellingShingle | Case Report Devi, Sujata Mohakud, Sudipta Kar, Nilanjan Muthuvel, Divya Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia |
title | Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia |
title_full | Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia |
title_fullStr | Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia |
title_full_unstemmed | Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia |
title_short | Deep vein thrombosis with pulmonary thromboembolism in a case of severe COVID-19 pneumonia |
title_sort | deep vein thrombosis with pulmonary thromboembolism in a case of severe covid-19 pneumonia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813340/ https://www.ncbi.nlm.nih.gov/pubmed/33452066 http://dx.doi.org/10.1136/bcr-2020-240932 |
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