Acute pulmonary embolism in COVID-19 disease: Case Report
Inflammation, cytokine storm and lung damage associated with COVID-19 can cause the initiation of the thromboembolic process in patients. The 73-year-old male patient applied with sudden-onset shortness of breath to the emergency department of our hospital. Physical examination revealed an SpO2 of 8...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nizameddin KOCA
2023-01-01
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| Series: | Turkish Journal of Internal Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1566088 |
| _version_ | 1797919958058926080 |
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| author | İftihar Köksal Nicat Nasirov Yıldız Okuturlar Ramazan Gunes Beste Naz Çelik |
| author_facet | İftihar Köksal Nicat Nasirov Yıldız Okuturlar Ramazan Gunes Beste Naz Çelik |
| author_sort | İftihar Köksal |
| collection | DOAJ |
| description | Inflammation, cytokine storm and lung damage associated with COVID-19 can cause the initiation of the thromboembolic process in patients. The 73-year-old male patient applied with sudden-onset shortness of breath to the emergency department of our hospital. Physical examination revealed an SpO2 of 80% in room air, respiratory rate of 27/min. As the chest CT scan was compatible with COVID-19, the patient was admitted to the hospital and empirical treatment for COVID-19 was started, comprising of favipravir and dexamethasone. The RT-PCR of SARS-CoV-2 test resulted positive one day later. Due to the D-dimer value that was higher than expected in COVID-19, arterial blood gas compatible with thromboembolism, and the accompanying high lactate level, a CT angiogram was ordered and was compatible with pulmonary embolism, showing partial embolic filling defects in the lobar branches in the inferior lobes, and the lingular branch of the left lung. A closer investigation of pulmonary embolism in high-risk patients during the pandemics, and prescribing anticoagulant therapy starting on especially the first day of symptoms are vital to prevent potential complications of possible thromboembolism. |
| first_indexed | 2024-04-10T13:54:39Z |
| format | Article |
| id | doaj.art-ca9ee628b0b24a8eb741b46fe8ad3dae |
| institution | Directory Open Access Journal |
| issn | 2687-4245 |
| language | English |
| last_indexed | 2024-04-10T13:54:39Z |
| publishDate | 2023-01-01 |
| publisher | Nizameddin KOCA |
| record_format | Article |
| series | Turkish Journal of Internal Medicine |
| spelling | doaj.art-ca9ee628b0b24a8eb741b46fe8ad3dae2023-02-15T16:10:34ZengNizameddin KOCATurkish Journal of Internal Medicine2687-42452023-01-010010.46310/tjim.8772141881Acute pulmonary embolism in COVID-19 disease: Case Reportİftihar Köksal0Nicat Nasirov1Yıldız Okuturlar2Ramazan Gunes3Beste Naz Çelik4Department of Infectious Diseases, Acibadem Mehmet Ali Aydinlar University School of Medicine, IstanbulDepartment of Internal Medicine, Acibadem Mehmet Ali Aydinlar University School of Medicine, IstanbulDepartment of Internal Medicine, Acibadem Mehmet Ali Aydinlar University School of Medicine, IstanbulAcibadem Mehmet Ali Aydinlar University School of Medicine, IstanbulAcibadem Mehmet Ali Aydinlar University School of Medicine, IstanbulInflammation, cytokine storm and lung damage associated with COVID-19 can cause the initiation of the thromboembolic process in patients. The 73-year-old male patient applied with sudden-onset shortness of breath to the emergency department of our hospital. Physical examination revealed an SpO2 of 80% in room air, respiratory rate of 27/min. As the chest CT scan was compatible with COVID-19, the patient was admitted to the hospital and empirical treatment for COVID-19 was started, comprising of favipravir and dexamethasone. The RT-PCR of SARS-CoV-2 test resulted positive one day later. Due to the D-dimer value that was higher than expected in COVID-19, arterial blood gas compatible with thromboembolism, and the accompanying high lactate level, a CT angiogram was ordered and was compatible with pulmonary embolism, showing partial embolic filling defects in the lobar branches in the inferior lobes, and the lingular branch of the left lung. A closer investigation of pulmonary embolism in high-risk patients during the pandemics, and prescribing anticoagulant therapy starting on especially the first day of symptoms are vital to prevent potential complications of possible thromboembolism.https://dergipark.org.tr/tr/download/article-file/1566088covid-19pulmonary embolismthromboembolism |
| spellingShingle | İftihar Köksal Nicat Nasirov Yıldız Okuturlar Ramazan Gunes Beste Naz Çelik Acute pulmonary embolism in COVID-19 disease: Case Report Turkish Journal of Internal Medicine covid-19 pulmonary embolism thromboembolism |
| title | Acute pulmonary embolism in COVID-19 disease: Case Report |
| title_full | Acute pulmonary embolism in COVID-19 disease: Case Report |
| title_fullStr | Acute pulmonary embolism in COVID-19 disease: Case Report |
| title_full_unstemmed | Acute pulmonary embolism in COVID-19 disease: Case Report |
| title_short | Acute pulmonary embolism in COVID-19 disease: Case Report |
| title_sort | acute pulmonary embolism in covid 19 disease case report |
| topic | covid-19 pulmonary embolism thromboembolism |
| url | https://dergipark.org.tr/tr/download/article-file/1566088 |
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