Elavia Nasha, Sharma Nishant, Li Si, Wang Yichen, Milekic Bojana
Internal Medicine, The Wright Center for Graduate Medical Education, Scranton, USA.
Center for Cellular Engineering, National Institutes of Health, Bethesda, USA.
Cureus. 2020 May 23;12(5):e8249. doi: 10.7759/cureus.8249.
Clinical presentation and severity of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) varies greatly amongst patients, as supported by recent literature. This poses an ongoing challenge in the diagnostic and therapeutic approach for managing these patients. Here, we would like to describe a case of acute bilateral pulmonary embolism (PE) presenting with atypical gastrointestinal symptoms in a patient with SARS-CoV-2 infection. This atypical presentation of PE is unique to our case and highlights the significance of a high index of clinical suspicion for SARS-CoV-2 and its associated thrombogenic effect, even in patients with atypical symptoms.
近期文献表明，严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染患者的临床表现和严重程度差异很大。这给这些患者的诊断和治疗方法带来了持续挑战。在此，我们将描述1例感染SARS-CoV-2的患者出现急性双侧肺栓塞（PE）并伴有非典型胃肠道症状的病例。这种PE的非典型表现是我们病例所特有的，强调了即使在有非典型症状的患者中，对SARS-CoV-2及其相关血栓形成作用保持高度临床怀疑的重要性。
