COVID-19 and Pulmonary Emboli: A Case Series and Literature Review.
Clin Pract Cases Emerg Med
; 4(3): 299-303, 2020 Aug.
Article
in English
| MEDLINE | ID: covidwho-761067
ABSTRACT
INTRODUCTION:
There is recent evidence that coronavirus disease 2019 (COVID-19) infection results in a prothrombotic state that may increase the risk of venous thromboembolism. Both COVID-19 infection and pulmonary emboli can present with dyspnoea, tachypnoea, hypoxaemia and an elevated D-dimer. Identifying a pulmonary embolus in a patient with COVID-19 and differentiating it from the typical clinical and biochemical features of COVID-19 is challenging. CASE REPORTS We report four cases, and reviewed two further cases in the literature, of a pulmonary embolus in patients who presented to the emergency department with COVID-19 and no other risk factor for a pulmonary embolus.CONCLUSION:
We identified a series of atypical features that should raise suspicion for a pulmonary embolus pleuritic chest pain; haemoptysis; atrial fibrillation; tachycardia; hypotension; late onset deterioration; evidence of right heart strain; or a disproportionally elevated D-dimer in comparison to ferritin.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Prognostic study
/
Reviews
Language:
English
Journal:
Clin Pract Cases Emerg Med
Year:
2020
Document Type:
Article
Affiliation country:
Cpcem.2020.7.48174
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