Mohtadi Malina, Ozgur Sacide S, Russo Joseph, Ansari Nida, Michael Patrick
Internal Medicine, St. Joseph's University Medical Center, Paterson, USA.
Cureus. 2024 Feb 2;16(2):e53438. doi: 10.7759/cureus.53438. eCollection 2024 Feb.
Coronavirus disease 2019 (COVID-19) infection has been associated with a multitude of complications, one established complication being thromboembolism, a result of the proinflammatory state induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This prothrombotic state is a cumulation of many inflammatory pathways at work. Here, we present an interesting case of a 43-year-old female who did not present with the typical COVID-19 clinical picture. Instead, she presented with periumbilical pain, nausea, and vomiting. Upon further investigation, she was found to have a splenic infarct on a computed tomography (CT) scan. An extensive workup was performed to explore possible etiologies; however, it was concluded that her splenic infarct was secondary to her COVID-19 infection. With this case, we aim to add to the literature regarding the manifestations of the prothrombotic state of SARS-CoV-2.
2019冠状病毒病（COVID-19）感染与多种并发症相关，一种已确定的并发症是血栓栓塞，这是严重急性呼吸综合征冠状病毒2（SARS-CoV-2）诱导的促炎状态的结果。这种血栓前状态是多种炎症途径共同作用的结果。在此，我们报告一例有趣的病例，一名43岁女性，未表现出典型的COVID-19临床表现。相反，她表现为脐周疼痛、恶心和呕吐。进一步检查发现，她在计算机断层扫描（CT）上有脾梗死。进行了广泛的检查以探究可能的病因；然而，得出的结论是她的脾梗死继发于COVID-19感染。通过这个病例，我们旨在补充有关SARS-CoV-2血栓前状态表现的文献。
