Alfawzan Mohammed, Alhabib Asma, Alshammari Eman, Ulhaq Muhammad M, Eldali Ahmed, Alhazmi Rawan M, Alsarhani Dana K
Plastic and Reconstructive Surgery, King Abdulaziz Medical City, Riyadh, SAU.
Plastic Surgery, National Guard Health Affairs, King Abdulaziz Medical City, Riyadh, SAU.
Cureus. 2023 Mar 11;15(3):e36009. doi: 10.7759/cureus.36009. eCollection 2023 Mar.
The recent coronavirus disease 2019 (COVID-19) pandemic has worse medical consequences, especially when affecting people with comorbidities such as diabetes, lung disease, hypertension, burn and trauma. The pathophysiology of COVID-19 infection includes thromboembolic events that were described in previous studies as a risk of venous thromboembolism (VTE). This risk is higher in burn patients, especially in the electrical type, which is generally attributed to their hypercoagulable state. This article reviews a detailed history, examination, and investigations of a 38-year-old male hospitalized burn patient with COVID-19 infection. Although on chemical thromboembolic prophylaxis, the patient developed extensive pulmonary embolism (PE) and, more interestingly, had atypical PE signs and symptoms. The present case aims to develop a special venous thromboembolism prophylaxis protocol between prophylactic and therapeutic dosages for COVID-19 burn patients.
最近的2019冠状病毒病（COVID-19）大流行产生了更严重的医学后果，尤其是在影响患有糖尿病、肺病、高血压、烧伤和创伤等合并症的人群时。COVID-19感染的病理生理学包括血栓栓塞事件，先前的研究将其描述为静脉血栓栓塞（VTE）的风险。这种风险在烧伤患者中更高，尤其是电烧伤类型，这通常归因于他们的高凝状态。本文回顾了一名38岁住院的COVID-19感染烧伤男性患者的详细病史、检查和调查情况。尽管该患者接受了化学性血栓栓塞预防治疗，但仍发生了广泛的肺栓塞（PE），更有趣的是，该患者出现了非典型的PE体征和症状。本病例旨在为COVID-19烧伤患者制定一种介于预防剂量和治疗剂量之间的特殊静脉血栓栓塞预防方案。
