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Intern Med ; 61(12): 1869-1876, 2022 Jun 15.
Article in English | MEDLINE | ID: covidwho-1951857

ABSTRACT

A 73-year-old man receiving hemodialysis and antiplatelets was admitted with a mild case of COVID-19. Heparin was added, and iliopsoas hemorrhage developed. He was successfully treated by interventional radiology. A 76-year-old man receiving hemodialysis and antiplatelets was admitted with mild COVID-19. Heparin was added, and iliacus hemorrhage developed. Despite heparin discontinuation, he died of worsening pneumonia. A 74-year-old man undergoing hemodialysis was admitted with severe COVID-19. Gastrointestinal bleeding developed during continuous hemodiafiltration with heparin. Upon switching to nafamostat and increasing the dose, iliopsoas hemorrhage developed. Despite interventional radiology, he died of infectious complications. Attention to hemorrhagic complications is therefore needed in patients with COVID-19.


Subject(s)
COVID-19 , Aged , Anticoagulants/adverse effects , COVID-19/complications , Hemorrhage/drug therapy , Heparin/therapeutic use , Humans , Male , Renal Dialysis/adverse effects
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