Yildiz Egemen, Satilmis Dilay, Cevik Erdem
Department of Emergency Medicine, Sultan 2. Abdulhamid Han Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Turk J Emerg Med. 2021 Oct 29;21(4):214-216. doi: 10.4103/2452-2473.329627. eCollection 2021 Oct-Dec.
Coronavirus disease 2019 (COVID-19) disease leads to a hypercoagulable state and associated with thrombotic events that can cause mortality and morbidity. Thrombotic events include both venous and arterial thrombosis. In this case report, we present a 68-year-old COVID-19 patient with multisystemic infarction who was admitted to the hospital by splenic infarction and later pulmonary embolism diagnosed during the stay in hospital despite anticoagulant use. It is important for emergency physicians to know that patients who had COVID-19 infection but not confirmed or not tested can visit the emergency department due to complications of COVID-19 infection such as thromboembolic events primarily.
2019冠状病毒病（COVID-19）会导致高凝状态，并伴有可导致死亡和发病的血栓形成事件。血栓形成事件包括静脉血栓和动脉血栓。在本病例报告中，我们介绍了一名68岁的COVID-19患者，该患者发生多系统梗死，因脾梗死入院，住院期间尽管使用了抗凝剂，但后来仍诊断出肺栓塞。对于急诊医生来说，重要的是要知道，那些感染了COVID-19但未确诊或未检测的患者，可能主要由于COVID-19感染的并发症（如血栓栓塞事件）而前往急诊科就诊。
