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J Crit Care ; 59: 32-34, 2020 10.
Article in English | MEDLINE | ID: covidwho-436896

ABSTRACT

The novel coronavirus strain known as SARS-CoV-2 has rapidly spread around the world creating distinct challenges to the healthcare workforce. Coagulopathy contributing to significant morbidity in critically ill patients with SARS-CoV-2 has now been well documented. We discuss two cases selected from patients requiring critical care in April 2020 in New York City with a unique clinical course. Both cases reveal significant thrombotic events noted on imaging during their hospital course. Obtaining serial inflammatory markers in conjunction with anti-phospholipid antibody testing revealed clinically significant Antiphospholipid syndrome (APS). This case series reviews the details preceding APS observed in SARS-CoV-2 and aims to report findings that could potentially further our understanding of the disease.


Subject(s)
Antibodies, Anticardiolipin/immunology , Antiphospholipid Syndrome/blood , Coronavirus Infections/blood , Pneumonia, Viral/blood , Thrombosis/blood , Adult , Antibodies, Monoclonal, Humanized/therapeutic use , Anticoagulants/therapeutic use , Antiphospholipid Syndrome/complications , Antiphospholipid Syndrome/immunology , Antiviral Agents/therapeutic use , Arterial Occlusive Diseases/etiology , Betacoronavirus , COVID-19 , Cerebral Infarction/etiology , Computed Tomography Angiography , Coronavirus Infections/complications , Coronavirus Infections/drug therapy , Coronavirus Infections/immunology , Critical Illness , Female , Heparin/therapeutic use , Humans , Hydroxychloroquine/therapeutic use , Interleukin 1 Receptor Antagonist Protein/therapeutic use , Male , Middle Aged , New York City , Pandemics , Pneumonia, Viral/complications , Pneumonia, Viral/drug therapy , Pneumonia, Viral/immunology , SARS-CoV-2 , Splenic Infarction/etiology , Thrombosis/drug therapy , Thrombosis/etiology , Tibial Arteries
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