Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis.

The prevalence of venous thromboembolism (VTE) in COVID-19 patients is higher than in non-COVID-19 patients. Since the beginning of the pandemic, deep vein thrombosis, myocardial infarction, ischaemic stroke and pulmonary embolism (PE) have been reported in patients with COVID-19. D-dimer levels are now routinely measured in hospitalized patients so that prophylaxis can be initiated. However, a standardized protocol for prophylaxis has yet to be developed for pregnant women with COVID-19, who have an increased risk of VTE. We describe the case of a young primigravida woman with a positive COVID RT-PCR test who developed PE despite receiving adequate prophylaxis. LEARNING POINTS: COVID-19 patients may develop venous thromboembolism (VTE) and so adequate prophylaxis should be provided.VTE may still develop despite adequate prophylaxis, especially in patients at high risk.A standardized prophylactic protocol to prevent VTE in pregnant women should be developed to reduce mortality before and after caesarean section.

A Rare Case of Guillain-Barré Syndrome following COVID-19 Vaccination.

Various vaccines against COVID-19 have been developed since SARS-CoV-2 emerged at the end of 2019. Their emergency administration in healthcare settings has been accompanied by numerous adverse effects. A case of Guillain-Barré syndrome following vaccination with Covishield is presented here to highlight this possible adverse condition. LEARNING POINTS: Guillain-Barré Syndrome (GBS) is a very rare complication after vaccination against SARS-CoV-2.The key concepts related to the understanding, management and outcomes of patients with GBS are discussed.

Acute Necrotizing Pancreatitis with Cystic Lesion Concomitant with SARS-CoV-2.

SARS-CoV-2 causes severe acute respiratory distress and other clinical complications such as thromboembolic events and gastrointestinal tract disorders, which generally present with abdominal pain. In the case report, we describe a patient who had severe viral necrotizing pancreatitis associated with COVID-19 infection. LEARNING POINTS: In patients with COVID-19, gastrointestinal symptoms should raise suspicion of pancreatitis and additional evaluation should be carried out.Further research to investigate if COVID-19 is associated with acute pancreatitis is warranted.