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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...

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Autores principales: Ceci Bonello, Etienne, Casha, Ramon, Xerri, Thelma, Bonello, John, Fsadni, Claudia, Mallia Azzopardi, Charles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
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.
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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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