RESUMO
La enfermedad covid-19 (coronavirus disease 2019) es una infección de reciente aparición que está causando una pandemia a nivel mundial. La forma de presentación varía desde una infección asintomática hasta una neumonía con síndrome de distrés respiratorio. Presentamos el caso de un paciente que presentó una neumonía por covid-19 junto a una coagulación intravascular diseminada con trombosis arterial y venosa en múltiples localizaciones y un estado de choque que requirió ingreso en unidad de cuidados intensivos. La alteración de las pruebas de coagulación en pacientes afectos de covid-19 se ha descrito desde los primeros casos observados en Wuhan, China, así como una mayor incidencia de trombosis venosas. Al contrario, una mayor incidencia de trombosis arterial no ha sido descrita en estos pacientes. El caso inusual que presentamos podría representar una manifestación de estas alteraciones.(AU)
The covid-19 disease (coronavirus disease 2019) is a novel disease causing a world pandemic. Its presentation varies from an asymptomatic infection to a pneumonia with acute respiratory distress syndrome. We present a case presenting initially as a covid-19 pneumonia together with a disseminated intravascular coagulopathy consisting of arterial and venous thrombosis in different locations and a shock requiring admission in the intensive care unit. The abnormal coagulation test in covid-19 patients have been described since the first cases observed in Wuhan, China, as well as an increased incidence of venous thrombosis. On the contrary, a higher incidence of arterial thrombosis has not been described in these patients. The unusual case we present could be a manifestation of this altered tests.(AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Coagulação Intravascular Disseminada , /epidemiologia , Transtornos da Coagulação Sanguínea , Sobrepeso , Pacientes Internados , Exame FísicoRESUMO
The covid-19 disease (coronavirus disease 2019) is a novel disease causing a world pandemic. Its presentation varies from an asymptomatic infection to a pneumonia with acute respiratory distress syndrome. We present a case presenting initially as a covid-19 pneumonia together with a disseminated intravascular coagulopathy consisting of arterial and venous thrombosis in different locations and a shock requiring admission in the intensive care unit. The abnormal coagulation test in covid-19 patients have been described since the first cases observed in Wuhan, China, as well as an increased incidence of venous thrombosis. On the contrary, a higher incidence of arterial thrombosis has not been described in these patients. The unusual case we present could be a manifestation of this altered tests.
Assuntos
COVID-19/complicações , Coagulação Intravascular Disseminada/etiologia , COVID-19/diagnóstico , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
La enfermedad covid-19 (coronavirus disease 2019) es una infección de reciente aparición que está causando una pandemia a nivel mundial. La forma de presentación varía desde una infección asintomática hasta una neumonía con síndrome de distrés respiratorio. Presentamos el caso de un paciente que presentó una neumonía por covid-19 junto a una coagulación intravascular diseminada con trombosis arterial y venosa en múltiples localizaciones y un estado de choque que requirió ingreso en unidad de cuidados intensivos. La alteración de las pruebas de coagulación en pacientes afectos de covid-19 se ha descrito desde los primeros casos observados en Wuhan, China, así como una mayor incidencia de trombosis venosas. Al contrario, una mayor incidencia de trombosis arterial no ha sido descrita en estos pacientes. El caso inusual que presentamos podría representar una manifestación de estas alteraciones
The covid-19 disease (coronavirus disease 2019) is a novel disease causing a world pandemic. Its presentation varies from an asymptomatic infection to a pneumonia with acute respiratory distress syndrome. We present a case presenting initially as a covid-19 pneumonia together with a disseminated intravascular coagulopathy consisting of arterial and venous thrombosis in different locations and a shock requiring admission in the intensive care unit. The abnormal coagulation test in covid-19 patients have been described since the first cases observed in Wuhan, China, as well as an increased incidence of venous thrombosis. On the contrary, a higher incidence of arterial thrombosis has not been described in these patients. The unusual case we present could be a manifestation of this altered tests
