Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Devi, Sujata, Mohakud, Sudipta, Kar, Nilanjan, Muthuvel, Divya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
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
_version_ 1783637834636197888
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
work_keys_str_mv AT devisujata deepveinthrombosiswithpulmonarythromboembolisminacaseofseverecovid19pneumonia
AT mohakudsudipta deepveinthrombosiswithpulmonarythromboembolisminacaseofseverecovid19pneumonia
AT karnilanjan deepveinthrombosiswithpulmonarythromboembolisminacaseofseverecovid19pneumonia
AT muthuveldivya deepveinthrombosiswithpulmonarythromboembolisminacaseofseverecovid19pneumonia