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以急性肢体缺血为表现的新型冠状病毒肺炎

COVID-19 Presenting as Acute Limb Ischaemia.

作者信息

Kaur Parminder, Posimreddy Sahitya, Singh Balraj, Qaqa Firas, Habib Habib A, Maroules Michael, Shamoon Fayez

机构信息

Cardiology, Saint Joseph's University Medical Center, Paterson, New Jersey, USA.

Hematology & Oncology, Saint Joseph's University Medical Center, Paterson, New Jersey, USA.

出版信息

Eur J Case Rep Intern Med. 2020 May 19;7(6):001724. doi: 10.12890/2020_001724. eCollection 2020.

DOI:10.12890/2020_001724
PMID:32523927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7279913/
Abstract

UNLABELLED

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic that developed in late 2019 and early 2020 has caused thousands of deaths and has had an enormous impact on our health systems and economies. Coronavirus disease 2019 (COVID-19) complications include disseminated coagulation and thrombosis, but, to the best of our knowledge, the literature to date on these manifestations has been limited. Herein, we report an unusual presentation in a 43-year-old man with a medical history of diabetes and hypertension who presented with dyspnoea and acute pain in his right leg and was found to have acute limb ischaemia and diabetic ketoacidosis. Our case adds to the literature regarding arterial thrombosis in COVID-19.

LEARNING POINTS

Arterial thrombosis in the form of acute limb ischaemia can occur in COVID-19.A high index of suspicion should be maintained for acute limb ischaemia, which is a vascular emergency.

摘要

未标注

2019年末至2020年初出现的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行已导致数千人死亡,并对我们的卫生系统和经济造成了巨大影响。2019冠状病毒病(COVID-19)的并发症包括弥散性凝血和血栓形成,但据我们所知,迄今为止关于这些表现的文献有限。在此,我们报告一名43岁男性的不寻常表现,他有糖尿病和高血压病史,出现呼吸困难和右腿急性疼痛,被发现患有急性肢体缺血和糖尿病酮症酸中毒。我们的病例增加了关于COVID-19患者动脉血栓形成的文献资料。

学习要点

COVID-19患者可发生以急性肢体缺血形式出现的动脉血栓形成。对于急性肢体缺血应保持高度怀疑,这是一种血管急症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/7279913/6fbab8e90cb2/1724_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/7279913/6fbab8e90cb2/1724_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a8a/7279913/6fbab8e90cb2/1724_Fig1.jpg

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