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Acute pulmonary embolism in a patient with mild COVID-19 symptoms: a case report.
Fiorini, Norberto B; Garagoli, Fernando; Bustamante, Rosana C; Pizarro, Rodolfo.
  • Fiorini NB; Tte, Gral, Juan Domingo Perón N° 4190, CABA CP C1199ABB, Buenos Aires, Argentina.
  • Garagoli F; Tte, Gral, Juan Domingo Perón N° 4190, CABA CP C1199ABB, Buenos Aires, Argentina.
  • Bustamante RC; Tte, Gral, Juan Domingo Perón N° 4190, CABA CP C1199ABB, Buenos Aires, Argentina.
  • Pizarro R; Tte, Gral, Juan Domingo Perón N° 4190, CABA CP C1199ABB, Buenos Aires, Argentina.
Eur Heart J Case Rep ; 5(1): ytaa563, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1228481
ABSTRACT

BACKGROUND:

The venous thromboembolism (VTE) is a frequent condition, which may worsen the prognosis of hospitalized COVID-19 patients. Nevertheless, the incidence of this complication is unknown in patients with mild COVID-19 symptoms. CASE

SUMMARY:

A 26-year-old female nurse, who had been taking oral contraceptive pills (OCPs) treatment for the last 2 years, developed mild COVID-19 symptoms (rhinitis and anosmia). She underwent isolation at home and was subsequently followed up with telehealth visits. Fifteen days after her initial presentation, she developed acute onset sudden dyspnoea. On physical examination, she was found to be tachycardic with normal pulse oximetry. The initial risk score for VTE was moderate and laboratory results showed increased D-dimer level without other relevant findings. Computed tomography pulmonary angiography was performed, which confirmed low-risk subsegmental pulmonary embolism.

DISCUSSION:

Venous thromboembolism in patients who present with severe COVID-19 symptoms has already been described in the literature; its incidence is greater in patients hospitalized in intensive care units. Efforts to prevent VTE based on risk scores are widely recognized. However, the relationship in patients who present with mild COVID-19 symptoms and VTE is still unknown. Recently, experts on this field have introduced thromboprophylaxis guidelines including ambulatory patients based on the severity of COVID-19 symptoms and pro-thrombotic risk. Our patient showed no major risk for developing VTE; therefore, the VTE could be associated with SARS-CoV-2 infection or the eventual pro-thrombotic association with the concomitant use of OCPs.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Observational study / Prognostic study Language: English Journal: Eur Heart J Case Rep Year: 2021 Document Type: Article Affiliation country: Ehjcr

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Observational study / Prognostic study Language: English Journal: Eur Heart J Case Rep Year: 2021 Document Type: Article Affiliation country: Ehjcr