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COVID-19 with pulmonary embolism: Case report

Year 2020, Volume: 42 Issue: 2, 213 - 215, 21.07.2020

Hakan Çelik Anwar Qais Saadoon

https://doi.org/10.7197/cmj.vi.750276
Cited By: 1

Abstract

A 20-years-old female patient presented to the emergency service due to complaints of sudden onset of severe shortness of breath; by a 3-day history of fever and a 1-day history of dry cough. After the patient evaluation, the presence of SARS-COV-2 infection together with the acute pulmonary embolism was detected. After the low molecular weight heparin was applied to the patient, the considerable increase was detected in the patient's oxygen saturation level. The acute pulmonary embolism can be seen after viral pneumonia.1 SARS-COV-2 pneumonia in comparison to the normal healtly population has much more embolism complication. In the evaluation stage, the request of contrast-enhanced tomography is crucial for the patients who have a high level of D-dimer and severe shortness of breath. The low molecular weight heparin that we use for treatment is given prophylactically in high-risk patients.3 In the reduction of anti-inflammatory response besides the protective effect of heparin; It is also known that IL-6 has binding properties at recent publications.4 In our case, We evaluated micro-thrombosis and large-vessel thrombosis may coexist in SARS-Cov-2 pneumonia and the effect of heparin.

Keywords

COVID-19 pulmonary embolism heparin

References

  • References 1. Jolobe OMP. Similarities between community-acquired pneumonia and pulmonary embolism. Am J Med 2019;132:e863. 2. Han H, Yang L, Liu R, Liu F, Wu KL, Li J, et al. Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. Clin Chem Lab Med 2020;16. 3. Rotzinger DC, Beigelman-Aubry C, von Garnier C, Qanadlia SD. Pulmonary embolism in patients with COVID-19: Time to change the paradigm of computed tomography. Thromb Res 2020;190:58–59.

Covid-19 ile birlikte görülen Pulmoner Emboli: Olgu sunumu

Year 2020, Volume: 42 Issue: 2, 213 - 215, 21.07.2020

Hakan Çelik Anwar Qais Saadoon

https://doi.org/10.7197/cmj.vi.750276
Cited By: 1

Abstract



       20 yaşında kadın hasta ani nefes darlığı, 3 gündür süren ateş,1 gündür devam eden kuru öksürük şikayetleri ile acil servise başvurdu. Hasta değerlendirildikten sonra SARS-Cov-2 enfeksiyonu ile akut pulmoner emboli birlikteliği görüldü. Hastaya verilen düşük molekül ağırlıklı heparin sonrası oksijen satürasyonunda önemli artış görüldü. Viral pnömoni sonrası akut pulmoner emboli görülebilir.1 SARS-Cov-2 pnömonilerinde normal sağlıklı popülasyona kıyasla daha fazla emboli görülebilmektedir.2Tetkik kısmında kan D-dimer yüksekliği olan yada olmayan ve ani nefes darlığı olan hastalara kontrastlı tomografi tetkiki istenmesi önemlidir. Tedavide kullandığımız düşük molekül ağırlıklı heparinin yüksek riskli hastalarda profilaktik olarak verilmektedir.3Heparinin sadece tromboz koruyucu etkisi yanında antiinflamatuvar yanıtın da azaltılmasında; IL-6 bağlayıcı özelliğin de olduğu bilinmektedir.4Vakamızda SARS-Cov-2 pnömonisinde mikro-tromboz ve büyük damar trombozunun birlikte olabileceği aynı zamanda heparinin etkisine değinilmiştir.

Keywords

COVID-19 pulmoner emboli heparin

References

  • References 1. Jolobe OMP. Similarities between community-acquired pneumonia and pulmonary embolism. Am J Med 2019;132:e863. 2. Han H, Yang L, Liu R, Liu F, Wu KL, Li J, et al. Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. Clin Chem Lab Med 2020;16. 3. Rotzinger DC, Beigelman-Aubry C, von Garnier C, Qanadlia SD. Pulmonary embolism in patients with COVID-19: Time to change the paradigm of computed tomography. Thromb Res 2020;190:58–59.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Hakan Çelik 0000-0003-0059-1667

Anwar Qais Saadoon 0000-0001-5754-3717

Publication Date July 21, 2020
Acceptance Date June 30, 2020
Published in Issue Year 2020Volume: 42 Issue: 2

Cite

AMA Çelik H, Saadoon AQ. COVID-19 with pulmonary embolism: Case report. CMJ. July 2020;42(2):213-215. doi:10.7197/cmj.vi.750276

Cited By

ARTERIAL AND VENOUS EMBOLISM DUE TO COVID-19 VACCINE (BIONTECH): CASE SERIES
Journal of Emergency Medicine Case Reports
https://doi.org/10.33706/jemcr.1089785