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Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19
We describe the case of a 65-year-old male who presented to an outside hospital for shortness of breath, nausea and vomiting 8 days after testing positive for COVID-19. Initial workup revealed massive bilateral pulmonary emboli and thrombocytopenia. The patient was then admitted to our hospital, rec...
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/PMC8149303/ https://www.ncbi.nlm.nih.gov/pubmed/34031097 http://dx.doi.org/10.1136/bcr-2021-243315 |
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author | Julian, Katherine Bucher, Donald Jain, Rohit |
author_facet | Julian, Katherine Bucher, Donald Jain, Rohit |
author_sort | Julian, Katherine |
collection | PubMed |
description | We describe the case of a 65-year-old male who presented to an outside hospital for shortness of breath, nausea and vomiting 8 days after testing positive for COVID-19. Initial workup revealed massive bilateral pulmonary emboli and thrombocytopenia. The patient was then admitted to our hospital, received an inferior vena cava filter and initially started on argatroban for autoimmune heparin-induced thrombocytopenia (HIT) prophylaxis. On hospital stay day 6, labs revealed a diagnosis of HIT in the setting of COVID-19. This case highlights the rare occurrence of a patient developing HIT without heparin exposure and in the setting of a novel infectious agent, COVID-19. |
format | Online Article Text |
id | pubmed-8149303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-81493032021-06-09 Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 Julian, Katherine Bucher, Donald Jain, Rohit BMJ Case Rep Case Report We describe the case of a 65-year-old male who presented to an outside hospital for shortness of breath, nausea and vomiting 8 days after testing positive for COVID-19. Initial workup revealed massive bilateral pulmonary emboli and thrombocytopenia. The patient was then admitted to our hospital, received an inferior vena cava filter and initially started on argatroban for autoimmune heparin-induced thrombocytopenia (HIT) prophylaxis. On hospital stay day 6, labs revealed a diagnosis of HIT in the setting of COVID-19. This case highlights the rare occurrence of a patient developing HIT without heparin exposure and in the setting of a novel infectious agent, COVID-19. BMJ Publishing Group 2021-05-24 /pmc/articles/PMC8149303/ /pubmed/34031097 http://dx.doi.org/10.1136/bcr-2021-243315 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis 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. |
spellingShingle | Case Report Julian, Katherine Bucher, Donald Jain, Rohit Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 |
title | Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 |
title_full | Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 |
title_fullStr | Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 |
title_full_unstemmed | Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 |
title_short | Autoimmune heparin-induced thrombocytopenia: a rare manifestation of COVID-19 |
title_sort | autoimmune heparin-induced thrombocytopenia: a rare manifestation of covid-19 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8149303/ https://www.ncbi.nlm.nih.gov/pubmed/34031097 http://dx.doi.org/10.1136/bcr-2021-243315 |
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