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Am J Trop Med Hyg ; 103(2): 844-846, 2020 08.
Article in English | MEDLINE | ID: mdl-32618261

ABSTRACT

The aim of this study was to evaluate the occurrence of pulmonary embolism in returning travelers with hypoxemic pneumonia due to COVID-19. All returning travelers to Reunion Island with hypoxemic pneumonia due to COVID-19 underwent computed tomography pulmonary angiography (CTPA) and were included in the cohort. Thirty-five patients were returning travelers with hypoxemic pneumonia due to COVID-19 and had recently returned from one of the countries most affected by the COVID-19 outbreak (mainly from France and Comoros archipelago). Five patients (14.3%) were found to have pulmonary embolism and two (5.9%) were incidentally found to have deep vein thrombosis on CTPA. Patients with pulmonary embolism or deep vein thrombosis had higher D-dimer levels than those without pulmonary embolism or deep vein thrombosis (P = 0.04). Returning travelers with hypoxemic pneumonia due to COVID-19 should be systematically screened for pulmonary embolism.


Subject(s)
Coronavirus Infections/diagnostic imaging , Pneumonia, Viral/diagnostic imaging , Pulmonary Embolism/diagnostic imaging , Venous Thrombosis/diagnostic imaging , Aged , Aged, 80 and over , Angiography , Betacoronavirus , COVID-19 , Comoros , Coronavirus Infections/complications , Female , Fibrin Fibrinogen Degradation Products/analysis , France , Humans , Hypoxia/virology , Lung/diagnostic imaging , Lung/pathology , Male , Middle Aged , Pandemics , Pneumonia, Viral/complications , Pulmonary Embolism/virology , Reunion , SARS-CoV-2 , Tomography, X-Ray Computed , Travel , Venous Thrombosis/virology
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