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Secondary Complications in COVID-19 Patients: A Case Series.
Belfiore, Maria Paola; Russo, Gaetano Maria; Gallo, Luigi; Atripaldi, Umberto; Tamburrini, Stefania; Caliendo, Valentina; Impieri, Luigi; Del Canto, Maria Teresa; Ciani, Giovanni; Parrella, Pasquale; Mangoni di Santo Stefano, Maria Luisa; Salvia, Antonio Alessandro Heliot; Urraro, Fabrizio; Nardone, Valerio; Coppola, Nicola; Reginelli, Alfonso; Cappabianca, Salvatore.
  • Belfiore MP; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Russo GM; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Gallo L; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Atripaldi U; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Tamburrini S; Department of Radiology, Ospedale del Mare, Via Enrico Russo, 80147 Naples, Italy.
  • Caliendo V; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Impieri L; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Del Canto MT; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Ciani G; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Parrella P; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Mangoni di Santo Stefano ML; Department of Radiology, Ospedale S. Maria della Pietà, Via della Repubblica, 80035 Nola, Italy.
  • Salvia AAH; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Urraro F; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Nardone V; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Coppola N; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Reginelli A; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
  • Cappabianca S; Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy.
Tomography ; 8(4): 1836-1850, 2022 Jul 15.
Article in English | MEDLINE | ID: covidwho-1939006
ABSTRACT

INTRODUCTION:

Coronavirus SARS-CoV-2, the causative agent of COVID-19, primarily causes a respiratory tract infection that is not limited to respiratory distress syndrome, but it is also implicated in other body systems. Systemic complications were reported due to an exaggerated inflammatory response, which involves severe alveolar damage in the lungs and exacerbates the hypercoagulation that leads to venous thrombosis, ischemic attack, vascular dysfunction and infarction of visceral abdominal organs. Some complications are related to anticoagulant drugs that are administrated to stabilize hypercoagulability, but increase the risk of bleeding, hematoma and hemorrhage. The aim of this study is to report the diagnostic role of CT in the early diagnosis and management of patients with severe COVID-19 complications through the most interesting cases in our experience. MATERIAL AND

METHODS:

The retrospective analysis of patients studied for COVID-19 in our institution and hospitals, which are part of the university training network, was performed. CASES Pneumomediastinum, cortical kidney necrosis, splenic infarction, cerebral ischemic stroke, thrombosis of the lower limb and hematomas are the most major complications that are reviewed in this study.

CONCLUSIONS:

Since the onset of the COVID-19 pandemic, the CT imaging modality with its high sensitivity and specificity remains the preferred imaging choice to diagnose early the different complications associated with COVID-19, such as thrombosis, ischemic stroke, infarction and pneumomediastinum, and their management, which significantly improved the outcomes.
Subject(s)
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / Stroke / Ischemic Stroke / COVID-19 / Mediastinal Emphysema Type of study: Etiology study / Observational study / Risk factors / Screening study Topics: Long Covid Limits: Humans Language: English Journal: Tomography Year: 2022 Document Type: Article Affiliation country: Tomography8040154

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / Stroke / Ischemic Stroke / COVID-19 / Mediastinal Emphysema Type of study: Etiology study / Observational study / Risk factors / Screening study Topics: Long Covid Limits: Humans Language: English Journal: Tomography Year: 2022 Document Type: Article Affiliation country: Tomography8040154