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Severe Acute Respiratory Syndrome Coronavirus 2 Infection and Thrombosis: Phlegmasia Cerulea Dolens Presenting with Venous Gangrene in a Child.
Visveswaran, Gautam K; Morparia, Kavita; Narang, Shalu; Sturt, Cindy; Divita, Michael; Voigt, Brett; Hawatmeh, Amer; McQueen, Derrick; Cohen, Marc.
  • Visveswaran GK; Division of Cardiology, Newark Beth Israel Medical Center, Newark, NJ. Electronic address: gaukart2925@gmail.com.
  • Morparia K; Children's Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, NJ.
  • Narang S; Children's Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, NJ.
  • Sturt C; Division of Vascular Surgery, Newark Beth Israel Medical Center, Newark, NJ.
  • Divita M; Division of Cardiology, Newark Beth Israel Medical Center, Newark, NJ.
  • Voigt B; Division of Vascular Surgery, Newark Beth Israel Medical Center, Newark, NJ.
  • Hawatmeh A; Division of Cardiology, Newark Beth Israel Medical Center, Newark, NJ.
  • McQueen D; Children's Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, NJ.
  • Cohen M; Division of Cardiology, Newark Beth Israel Medical Center, Newark, NJ.
J Pediatr ; 226: 281-284.e1, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-737186
ABSTRACT
A 12-year-old girl with severe acute respiratory syndrome coronavirus 2 infection presented as phlegmasia cerulea dolens with venous gangrene. Emergent mechanical thrombectomy was complicated by a massive pulmonary embolism and cardiac arrest, for which extracorporeal cardiopulmonary resuscitation and therapeutic hypothermia were used. Staged ultrasound-assisted catheter-directed thrombolysis was used for treatment of bilateral pulmonary emboli and the extensive lower extremity deep vein thrombosis while the patient received extracorporeal membrane oxygenation support. We highlight the need for heightened suspicion for occult severe acute respiratory syndrome coronavirus 2 infection among children presenting with unusual thrombotic complications.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pulmonary Embolism / Thrombophlebitis / Veins / Venous Thrombosis / COVID-19 Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Child / Female / Humans Language: English Journal: J Pediatr Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pulmonary Embolism / Thrombophlebitis / Veins / Venous Thrombosis / COVID-19 Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Child / Female / Humans Language: English Journal: J Pediatr Year: 2020 Document Type: Article