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Axillary artery thrombosis resulting in upper limb amputation as a COVID-19 sequela.
Ramachandran, Riju; Vasudevan Pillai, Anoop; Raja, Suyambu; Sailesh, Sailakshmi.
  • Ramachandran R; General Surgery, Amrita School of Medicine, Amrita Viswavidyapeetham, Kochi, India rijurmenon@gmail.com.
  • Vasudevan Pillai A; General Surgery, Amrita School of Medicine, Amrita Viswavidyapeetham, Kochi, India.
  • Raja S; General Surgery, Amrita School of Medicine, Amrita Viswavidyapeetham, Kochi, India.
  • Sailesh S; General Surgery, Amrita School of Medicine, Amrita Viswavidyapeetham, Kochi, India.
BMJ Case Rep ; 14(1)2021 Jan 26.
Article in English | MEDLINE | ID: covidwho-1050387
Semantic information from SemMedBD (by NLM)
1. Axilla LOCATION_OF Arteries
Subject
Axilla
Predicate
LOCATION_OF
Object
Arteries
2. Arteries LOCATION_OF Thrombosis
Subject
Arteries
Predicate
LOCATION_OF
Object
Thrombosis
3. COVID-19 COEXISTS_WITH Arm Pain
Subject
COVID-19
Predicate
COEXISTS_WITH
Object
Arm Pain
4. COVID-19 PROCESS_OF Male population group
Subject
COVID-19
Predicate
PROCESS_OF
Object
Male population group
5. Arteries LOCATION_OF Complete obstruction
Subject
Arteries
Predicate
LOCATION_OF
Object
Complete obstruction
6. Nerve LOCATION_OF Necrotic debris
Subject
Nerve
Predicate
LOCATION_OF
Object
Necrotic debris
7. Axilla LOCATION_OF Arteries
Subject
Axilla
Predicate
LOCATION_OF
Object
Arteries
8. Arteries LOCATION_OF Thrombosis
Subject
Arteries
Predicate
LOCATION_OF
Object
Thrombosis
9. COVID-19 COEXISTS_WITH Arm Pain
Subject
COVID-19
Predicate
COEXISTS_WITH
Object
Arm Pain
10. COVID-19 PROCESS_OF Male population group
Subject
COVID-19
Predicate
PROCESS_OF
Object
Male population group
11. Arteries LOCATION_OF Complete obstruction
Subject
Arteries
Predicate
LOCATION_OF
Object
Complete obstruction
12. Nerve LOCATION_OF Necrotic debris
Subject
Nerve
Predicate
LOCATION_OF
Object
Necrotic debris
ABSTRACT
Novel COVID-19 continues to intrigue medical professionals with its varied presentations. Though it affects the respiratory tract primarily, thrombogenesis has been the Achilles' heel. A 44-year-old man diagnosed with COVID-19 presented with upper limb pain at a local hospital and was found to have thrombosis of the right axillary artery. Despite a successful embolectomy at the local hospital, there was re-occlusion of the axillary artery and the limb became ischaemic. He was referred to our institution by which time the limb became gangrenous above the elbow and had to be amputated. Extensive sloughing of the nerves was also seen in the local area. Hypercoagulability presenting with various manifestations is common in COVID-19 and needs early anticoagulation. We present this asymptomatic patient who lost a limb to this COVID-19 sequelae.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Arm / Axillary Artery / Thrombosis / Gangrene / COVID-19 / Amputation / Ischemia Type of study: Case report Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-240981

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Arm / Axillary Artery / Thrombosis / Gangrene / COVID-19 / Amputation / Ischemia Type of study: Case report Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-240981