COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy

A 76-year-old man presented with shortness of breath, fever, and fatigue with confirmed COVID-19 by positive RT-PCR test for the SARS-COV-2. Abdominal and pelvis computed tomography with intravenous contrast was performed several days later given the patient’s severe abdominal pain which showed both...

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Main Authors: Mehdi Ghaderian Jahromi, Marzieh Sheibani Abdolusefi, Mohsen Neshati Pir Borj
Format: Article
Language:English
Published: Karger Publishers 2021-05-01
Series:Case Reports in Acute Medicine
Subjects:
Online Access:https://www.karger.com/Article/FullText/515120
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author Mehdi Ghaderian Jahromi
Marzieh Sheibani Abdolusefi
Mohsen Neshati Pir Borj
author_facet Mehdi Ghaderian Jahromi
Marzieh Sheibani Abdolusefi
Mohsen Neshati Pir Borj
author_sort Mehdi Ghaderian Jahromi
collection DOAJ
description A 76-year-old man presented with shortness of breath, fever, and fatigue with confirmed COVID-19 by positive RT-PCR test for the SARS-COV-2. Abdominal and pelvis computed tomography with intravenous contrast was performed several days later given the patient’s severe abdominal pain which showed both renal and splenic infarcts despite the use of a proper thromboprophylaxis with subcutaneous heparin, and therefore, therapeutic anticoagulation was initiated. In the course of hospitalization, he developed acute kidney injury, uremic syndrome, and myocardial infarction as well. The patient was treated with fibrinolytic therapy and was eventually discharged on a direct oral anticoagulant.
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spelling doaj.art-064ab3fa96094a1590b32f8dc6191af02022-12-21T20:20:27ZengKarger PublishersCase Reports in Acute Medicine2504-52882021-05-0142364010.1159/000515120515120COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double WhammyMehdi Ghaderian Jahromi0Marzieh Sheibani Abdolusefi1Mohsen Neshati Pir Borj2Department of Radiology, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Radiology, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Cardiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranA 76-year-old man presented with shortness of breath, fever, and fatigue with confirmed COVID-19 by positive RT-PCR test for the SARS-COV-2. Abdominal and pelvis computed tomography with intravenous contrast was performed several days later given the patient’s severe abdominal pain which showed both renal and splenic infarcts despite the use of a proper thromboprophylaxis with subcutaneous heparin, and therefore, therapeutic anticoagulation was initiated. In the course of hospitalization, he developed acute kidney injury, uremic syndrome, and myocardial infarction as well. The patient was treated with fibrinolytic therapy and was eventually discharged on a direct oral anticoagulant.https://www.karger.com/Article/FullText/515120coronavirus disease 2019renal infarctionsplenic infarctionmyocardial infarction
spellingShingle Mehdi Ghaderian Jahromi
Marzieh Sheibani Abdolusefi
Mohsen Neshati Pir Borj
COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy
Case Reports in Acute Medicine
coronavirus disease 2019
renal infarction
splenic infarction
myocardial infarction
title COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy
title_full COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy
title_fullStr COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy
title_full_unstemmed COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy
title_short COVID-19 Complicated by Concomitant Renal, Splenic, and Myocardial Infarction: Double Whammy
title_sort covid 19 complicated by concomitant renal splenic and myocardial infarction double whammy
topic coronavirus disease 2019
renal infarction
splenic infarction
myocardial infarction
url https://www.karger.com/Article/FullText/515120
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AT mohsenneshatipirborj covid19complicatedbyconcomitantrenalsplenicandmyocardialinfarctiondoublewhammy