Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy

As opposed to widely recognized Coronavirus Disease 2019 (COVID-19)-associated thrombotic events, the unusual but serious bleeding complications in COVID-19 patients are worth-mentioned. Here, we describe a 44-year-old man afflicted by COVID-19 pneumonia with acute respiratory distress syndrome (ARD...

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Main Authors: Kanin Thammavaranucupt, Tanapat Tassaneyasin, Pongdhep Theerawit, Yuda Sutherasan, Pimwatana Pinsem, Supawadee Suppadungsuk, Nithita Nanthatanti, Suppachok Kirdlarp, Somnuek Sungkanuparph, Sirawat Srichatrapimuk
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007122000855
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author Kanin Thammavaranucupt
Tanapat Tassaneyasin
Pongdhep Theerawit
Yuda Sutherasan
Pimwatana Pinsem
Supawadee Suppadungsuk
Nithita Nanthatanti
Suppachok Kirdlarp
Somnuek Sungkanuparph
Sirawat Srichatrapimuk
author_facet Kanin Thammavaranucupt
Tanapat Tassaneyasin
Pongdhep Theerawit
Yuda Sutherasan
Pimwatana Pinsem
Supawadee Suppadungsuk
Nithita Nanthatanti
Suppachok Kirdlarp
Somnuek Sungkanuparph
Sirawat Srichatrapimuk
author_sort Kanin Thammavaranucupt
collection DOAJ
description As opposed to widely recognized Coronavirus Disease 2019 (COVID-19)-associated thrombotic events, the unusual but serious bleeding complications in COVID-19 patients are worth-mentioned. Here, we describe a 44-year-old man afflicted by COVID-19 pneumonia with acute respiratory distress syndrome (ARDS) and submassive pulmonary embolism. The patient's condition initially improved with the prescription of ECMO, tocilizumab, and hemoadsorption, however, he later developed spontaneous tension hemothorax, which is considered rare but devastating in the setting of COVID-19. While the exact pathogenesis of COVID-19-associated bleeding events remains poorly understood, we aim to highlight the other aspect of coagulation dysfunction potentially caused by COVID-19.
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spelling doaj.art-3212386c927b4db9ae4e5bdb16cd6ba32022-12-22T02:26:04ZengElsevierRespiratory Medicine Case Reports2213-00712022-01-0137101663Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathyKanin Thammavaranucupt0Tanapat Tassaneyasin1Pongdhep Theerawit2Yuda Sutherasan3Pimwatana Pinsem4Supawadee Suppadungsuk5Nithita Nanthatanti6Suppachok Kirdlarp7Somnuek Sungkanuparph8Sirawat Srichatrapimuk9Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, ThailandChakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, ThailandDivision of Critical Care Medicine, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDivision of Pulmonary and Pulmonary Critical Care Medicine, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDepartment of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandChakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, ThailandChakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, ThailandChakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, ThailandChakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, ThailandChakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand; Corresponding author. Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 111 Moo 14, Bang Pla, Bang Phli, Samut Prakan, 10540, Thailand.As opposed to widely recognized Coronavirus Disease 2019 (COVID-19)-associated thrombotic events, the unusual but serious bleeding complications in COVID-19 patients are worth-mentioned. Here, we describe a 44-year-old man afflicted by COVID-19 pneumonia with acute respiratory distress syndrome (ARDS) and submassive pulmonary embolism. The patient's condition initially improved with the prescription of ECMO, tocilizumab, and hemoadsorption, however, he later developed spontaneous tension hemothorax, which is considered rare but devastating in the setting of COVID-19. While the exact pathogenesis of COVID-19-associated bleeding events remains poorly understood, we aim to highlight the other aspect of coagulation dysfunction potentially caused by COVID-19.http://www.sciencedirect.com/science/article/pii/S2213007122000855COVID-19ECMOHemothoraxPulmonary embolism
spellingShingle Kanin Thammavaranucupt
Tanapat Tassaneyasin
Pongdhep Theerawit
Yuda Sutherasan
Pimwatana Pinsem
Supawadee Suppadungsuk
Nithita Nanthatanti
Suppachok Kirdlarp
Somnuek Sungkanuparph
Sirawat Srichatrapimuk
Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy
Respiratory Medicine Case Reports
COVID-19
ECMO
Hemothorax
Pulmonary embolism
title Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy
title_full Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy
title_fullStr Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy
title_full_unstemmed Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy
title_short Spontaneous tension hemothorax in a severe COVID-19 patient receiving ECMO therapy: The other side of COVID-19-associated coagulopathy
title_sort spontaneous tension hemothorax in a severe covid 19 patient receiving ecmo therapy the other side of covid 19 associated coagulopathy
topic COVID-19
ECMO
Hemothorax
Pulmonary embolism
url http://www.sciencedirect.com/science/article/pii/S2213007122000855
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