General Surgery, Amrita School of Medicine, Amrita Viswavidyapeetham, Kochi, India
General Surgery, Amrita School of Medicine, Amrita Viswavidyapeetham, Kochi, India.
BMJ Case Rep. 2021 Jan 26;14(1):e240981. doi: 10.1136/bcr-2020-240981.
Novel COVID-19 continues to intrigue medical professionals with its varied presentations. Though it affects the respiratory tract primarily, thrombogenesis has been the Achilles' heel. A 44-year-old man diagnosed with COVID-19 presented with upper limb pain at a local hospital and was found to have thrombosis of the right axillary artery. Despite a successful embolectomy at the local hospital, there was re-occlusion of the axillary artery and the limb became ischaemic. He was referred to our institution by which time the limb became gangrenous above the elbow and had to be amputated. Extensive sloughing of the nerves was also seen in the local area. Hypercoagulability presenting with various manifestations is common in COVID-19 and needs early anticoagulation. We present this asymptomatic patient who lost a limb to this COVID-19 sequelae.
新型冠状病毒病（COVID-19）以其多样的表现继续令医学专业人员感到好奇。虽然它主要影响呼吸道，但血栓形成一直是其弱点。一名 44 岁的男子被诊断患有 COVID-19，在当地医院出现上肢疼痛，被发现右腋动脉血栓形成。尽管在当地医院成功进行了血栓切除术，但腋动脉再次发生闭塞，肢体出现缺血。他被转介到我们的机构，此时肘部以上的肢体已经出现坏疽，不得不进行截肢。当地也广泛出现神经脱屑。COVID-19 常表现出各种高凝状态，需要早期抗凝治疗。我们介绍这位无症状患者，他因 COVID-19 后遗症失去了一条肢体。
