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Multiorgan thrombosis as a complication of COVID-19 pneumonia
A 47-year-old man, positive for SARS-CoV-2, was diagnosed with acute coronary syndrome (ACS) complicated by myocarditis on a background of COVID-19 pneumonia. He was medically treated for ACS; however, 3 days into his admission, the patient developed neurological complications confirmed on MRI of th...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319963/ https://www.ncbi.nlm.nih.gov/pubmed/34321271 http://dx.doi.org/10.1136/bcr-2021-243953 |
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author | Ceci Bonello, Etienne Casha, Ramon Xerri, Thelma Bonello, John Fsadni, Claudia Mallia Azzopardi, Charles |
author_facet | Ceci Bonello, Etienne Casha, Ramon Xerri, Thelma Bonello, John Fsadni, Claudia Mallia Azzopardi, Charles |
author_sort | Ceci Bonello, Etienne |
collection | PubMed |
description | A 47-year-old man, positive for SARS-CoV-2, was diagnosed with acute coronary syndrome (ACS) complicated by myocarditis on a background of COVID-19 pneumonia. He was medically treated for ACS; however, 3 days into his admission, the patient developed neurological complications confirmed on MRI of the brain. MRI showed established infarcts involving a large part of the left temporal lobe and right occipital lobe, with minor foci of micro-haemorrhagic transformation in the left temporal lobe. A left ventricular mural thrombus was then confirmed on echocardiogram, and this was attributed as the cause of his neurological infarct. Further infarctions in the kidneys and spleen, and thrombi in the superior mesenteric and left femoral artery were also identified on imaging of the abdomen. The left ventricular mural thrombus was removed surgically via a midline sternotomy incision under general anaesthesia. Surgery was successful and the patient was discharged to a rehabilitation centre. |
format | Online Article Text |
id | pubmed-8319963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-83199632021-08-02 Multiorgan thrombosis as a complication of COVID-19 pneumonia Ceci Bonello, Etienne Casha, Ramon Xerri, Thelma Bonello, John Fsadni, Claudia Mallia Azzopardi, Charles BMJ Case Rep Case Report A 47-year-old man, positive for SARS-CoV-2, was diagnosed with acute coronary syndrome (ACS) complicated by myocarditis on a background of COVID-19 pneumonia. He was medically treated for ACS; however, 3 days into his admission, the patient developed neurological complications confirmed on MRI of the brain. MRI showed established infarcts involving a large part of the left temporal lobe and right occipital lobe, with minor foci of micro-haemorrhagic transformation in the left temporal lobe. A left ventricular mural thrombus was then confirmed on echocardiogram, and this was attributed as the cause of his neurological infarct. Further infarctions in the kidneys and spleen, and thrombi in the superior mesenteric and left femoral artery were also identified on imaging of the abdomen. The left ventricular mural thrombus was removed surgically via a midline sternotomy incision under general anaesthesia. Surgery was successful and the patient was discharged to a rehabilitation centre. BMJ Publishing Group 2021-07-28 /pmc/articles/PMC8319963/ /pubmed/34321271 http://dx.doi.org/10.1136/bcr-2021-243953 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 Ceci Bonello, Etienne Casha, Ramon Xerri, Thelma Bonello, John Fsadni, Claudia Mallia Azzopardi, Charles Multiorgan thrombosis as a complication of COVID-19 pneumonia |
title | Multiorgan thrombosis as a complication of COVID-19 pneumonia |
title_full | Multiorgan thrombosis as a complication of COVID-19 pneumonia |
title_fullStr | Multiorgan thrombosis as a complication of COVID-19 pneumonia |
title_full_unstemmed | Multiorgan thrombosis as a complication of COVID-19 pneumonia |
title_short | Multiorgan thrombosis as a complication of COVID-19 pneumonia |
title_sort | multiorgan thrombosis as a complication of covid-19 pneumonia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319963/ https://www.ncbi.nlm.nih.gov/pubmed/34321271 http://dx.doi.org/10.1136/bcr-2021-243953 |
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