Ferguson, K., Quail, N., Kewin, P. and Blyth, K. G. (2020) COVID-19 associated with extensive pulmonary arterial, intracardiac and peripheral arterial thrombosis. BMJ Case Reports, 13(8), e237460. (doi: 10.1136/bcr-2020-237460) (PMID:32747597) (PMCID:PMC7401579)
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Abstract
We describe a patient with COVID-19 who developed simultaneous pulmonary, intracardiac and peripheral arterial thrombosis. A 58-year-old man, without major comorbidity, was admitted with a 14-day history of breathlessness. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection was confirmed by laboratory testing. Initial imaging revealed COVID-19 pneumonia but no pulmonary thromboembolism (PTE) on CT pulmonary angiography (CTPA). The patient subsequently developed respiratory failure and left foot ischaemia associated with a rising D-dimer. Repeat CTPA and lower limb CT angiography revealed simultaneous bilateral PTE, biventricular cardiac thrombi and bilateral lower limb arterial occlusions. This case highlights a broad range of vascular sequalae associated with COVID-19 and the fact that these can occur despite a combination of prophylactic and treatment dose anticoagulation.
Item Type: | Articles |
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Keywords: | Pneumonia (infectious disease), venous thromboembolism. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Ferguson, Katie and Kewin, Dr Peter and Blyth, Professor Kevin and Quail, Dr Nat |
Authors: | Ferguson, K., Quail, N., Kewin, P., and Blyth, K. G. |
College/School: | College of Medical Veterinary and Life Sciences > School of Cancer Sciences College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | BMJ Case Reports |
Publisher: | BMJ Publishing Group |
ISSN: | 1757-790X |
ISSN (Online): | 1757-790X |
Published Online: | 03 August 2020 |
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