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Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome

Since the outbreak of the COVID-19 pandemic, thrombotic events have been accurately described in patients infected by the SARS-CoV-2, especially venous thromboembolism. However, the mystery of arterial thrombosis is still unclear. Here, we report the case of a 59-year-old man with diabetes mellitus,...

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Autores principales: Brem, Falmata Laouan, Tayef, Taha Abu Al, Rasras, Hammam, Mahi, Omar El, Ouafi, Noha El, Zakaria, Bazid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9389916/
https://www.ncbi.nlm.nih.gov/pubmed/35999857
http://dx.doi.org/10.1016/j.radcr.2022.06.076
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author Brem, Falmata Laouan
Tayef, Taha Abu Al
Rasras, Hammam
Mahi, Omar El
Ouafi, Noha El
Zakaria, Bazid
author_facet Brem, Falmata Laouan
Tayef, Taha Abu Al
Rasras, Hammam
Mahi, Omar El
Ouafi, Noha El
Zakaria, Bazid
author_sort Brem, Falmata Laouan
collection PubMed
description Since the outbreak of the COVID-19 pandemic, thrombotic events have been accurately described in patients infected by the SARS-CoV-2, especially venous thromboembolism. However, the mystery of arterial thrombosis is still unclear. Here, we report the case of a 59-year-old man with diabetes mellitus, admitted for COVID-19-pneumonia complicated by pulmonary embolism, a thrombus in the aortic isthmus, the descending thoracic aorta associated with splenic and left renal infarctions, and an acute right limb ischemia. The etiological assessment of this catastrophic thrombotic syndrome showed no evidence for preexisting inherited or acquired thrombophilia. Our case emphasizes the hypercoagulability state in COVID-19-patient leading to both arterial and venous thromboembolisms and the need to establish adequate strategies for the diagnosis and management of thrombo-embolisms to prevent these potentially fatal complications.
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spelling pubmed-93899162022-08-19 Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome Brem, Falmata Laouan Tayef, Taha Abu Al Rasras, Hammam Mahi, Omar El Ouafi, Noha El Zakaria, Bazid Radiol Case Rep Case Report Since the outbreak of the COVID-19 pandemic, thrombotic events have been accurately described in patients infected by the SARS-CoV-2, especially venous thromboembolism. However, the mystery of arterial thrombosis is still unclear. Here, we report the case of a 59-year-old man with diabetes mellitus, admitted for COVID-19-pneumonia complicated by pulmonary embolism, a thrombus in the aortic isthmus, the descending thoracic aorta associated with splenic and left renal infarctions, and an acute right limb ischemia. The etiological assessment of this catastrophic thrombotic syndrome showed no evidence for preexisting inherited or acquired thrombophilia. Our case emphasizes the hypercoagulability state in COVID-19-patient leading to both arterial and venous thromboembolisms and the need to establish adequate strategies for the diagnosis and management of thrombo-embolisms to prevent these potentially fatal complications. Elsevier 2022-08-19 /pmc/articles/PMC9389916/ /pubmed/35999857 http://dx.doi.org/10.1016/j.radcr.2022.06.076 Text en © 2022 Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Brem, Falmata Laouan
Tayef, Taha Abu Al
Rasras, Hammam
Mahi, Omar El
Ouafi, Noha El
Zakaria, Bazid
Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome
title Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome
title_full Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome
title_fullStr Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome
title_full_unstemmed Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome
title_short Concomitant renal and splenic infarctions in a COVID-19-patient with a catastrophic thrombotic syndrome
title_sort concomitant renal and splenic infarctions in a covid-19-patient with a catastrophic thrombotic syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9389916/
https://www.ncbi.nlm.nih.gov/pubmed/35999857
http://dx.doi.org/10.1016/j.radcr.2022.06.076
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