Balla Mamtha, Staats-Ciotola Hannah, Dhavale Meera, Sangani Vikram, Pokal Mytri, Merugu Ganesh Prasad, Konala Venu Madhav, Adapa Sreedhar, Naramala Srikanth, Rallabhandi Sai Sri Harsha
Department of Internal Medicine, University of Toledo and Promedica Toledo Hospital, Toledo, OH 43606, USA.
Department of Internal Medicine, University of Toledo College of Medicine & Life Sciences, Toledo, OH 43614, USA.
J Community Hosp Intern Med Perspect. 2022 May 2;12(3):94-99. doi: 10.55729/2000-9666.1060. eCollection 2022.
Coronavirus disease 2019 (COVID-19) is an infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is known to cause a myriad of symptoms ranging from mild respiratory illness to severe pneumonia and acute respiratory distress. Since its discovery in late 2019 in Wuhan, China, the virus has caused a devastating worldwide pandemic. Although COVID-19 most commonly causes respiratory symptoms, complications such as hypercoagulability are now known to occur in some patients. In this case report, we present a COVID-19 patient that suffered a stroke and was found to have an aortic thrombus. In this case report, we discussed hypercoagulability, venous and arterial thrombosis in COVID-19 patients. We hope to highlight the importance of monitoring laboratory markers of hypercoagulability and thromboembolism symptoms in COVID-19 patients and encourage appropriate prophylaxis and treatment with anticoagulants when necessary. It is unclear whether or not a causal relationship exists given the nature of the syndrome. However, given the growing number of reported cases physicians should maintain awareness of this possible complication when evaluating COVID-19 patients.
2019冠状病毒病(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的一种感染。已知它会引发从轻度呼吸道疾病到严重肺炎和急性呼吸窘迫等多种症状。自2019年末在中国武汉被发现以来,该病毒已引发了一场毁灭性的全球大流行。尽管COVID-19最常见的是引起呼吸道症状,但现在已知一些患者会出现高凝状态等并发症。在本病例报告中,我们介绍了一名COVID-19患者,该患者发生了中风且被发现有主动脉血栓形成。在本病例报告中,我们讨论了COVID-19患者的高凝状态、静脉和动脉血栓形成。我们希望强调监测COVID-19患者高凝状态和血栓栓塞症状实验室指标的重要性,并鼓励在必要时进行适当的抗凝预防和治疗。鉴于该综合征的性质,尚不清楚是否存在因果关系。然而,鉴于报告病例数量不断增加,医生在评估COVID-19患者时应保持对这种可能并发症的认识。