Khuda Bakhsh Zeenat, Khan Raheel, Al-Khafaji Fatima, Achyuth Suresh Vishnu, Bashir Khalid
Emergency Medicine, Hamad Medical Corporation, Doha, QAT.
Emergency Medicine, Hamad General Hospital, Doha, QAT.
Cureus. 2021 Aug 31;13(8):e17623. doi: 10.7759/cureus.17623. eCollection 2021 Aug.
COVID-19, also known as severe acute respiratory distress syndrome coronavirus 2, mostly affects the respiratory system causing acute respiratory syndrome. It not only targets lungs but also causes vascular endothelial disruption, which can lead to arterial or venous thrombosis causing ischemia, which increases the morbidity and mortality in some patients, if not recognized and treated in a timely manner. We present an interesting case of a patient recovering from COVID-19 pneumonia , who developed bilateral foot ischemia due to thrombosis of bilateral profunda femoris, bilateral anterior tibial, and tibioperoneal arteries. A 44-year-old gentleman presented to the emergency department complaining of severe bilateral foot pain, which progressively got worse. Upon examination he had blue toes bilaterally with absent dorsalis pedis and posterior tibial pulse. CT angiogram was performed, which showed severe multilevel lower limb arterial occlusions involving bilateral profunda femoris, bilateral anterior tibial, and tibioperoneal arteries. The patient was initially thrombolyzed and later underwent thrombectomy with the assistance of interventional radiologist. Hospital course was uneventful, and the patient was discharged on warfarin following complete resolution of symptoms.
新型冠状病毒肺炎（COVID-19），也称为严重急性呼吸综合征冠状病毒2，主要影响呼吸系统，导致急性呼吸综合征。它不仅侵袭肺部，还会引起血管内皮破坏，进而导致动脉或静脉血栓形成，引发局部缺血，如果未能及时识别和治疗，会增加部分患者的发病率和死亡率。我们报告了一例有趣的病例，一名从COVID-19肺炎中康复的患者，因双侧股深动脉、双侧胫前动脉和胫腓动脉血栓形成而出现双侧足部缺血。一名44岁男性因双侧足部剧痛就诊于急诊科，疼痛逐渐加重。检查发现双侧足趾发绀，双侧足背动脉和胫后动脉搏动消失。进行了CT血管造影，结果显示严重的多节段下肢动脉闭塞，累及双侧股深动脉、双侧胫前动脉和胫腓动脉。患者最初接受了溶栓治疗，后来在介入放射科医生的协助下进行了血栓切除术。住院过程顺利，症状完全缓解后患者出院，出院时服用华法林。
