A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence
Abstract Background The clinical manifestations of coronavirus disease 2019 (COVID-19) overlap with those of other disorders, especially cardiovascular disease. Case presentation We herein describe a 58-year-old woman who presented with syncopal episodes and dyspnea on exertion with a left atrial (L...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01697-3 |
| _version_ | 1819116815256649728 |
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| author | Arezou Zoroufian Reza Mohseni-Badalabadi Mehrdad Mahalleh Seyyed Mojtaba Ghorashi Sharam Momtahen Negar Omidi |
| author_facet | Arezou Zoroufian Reza Mohseni-Badalabadi Mehrdad Mahalleh Seyyed Mojtaba Ghorashi Sharam Momtahen Negar Omidi |
| author_sort | Arezou Zoroufian |
| collection | DOAJ |
| description | Abstract Background The clinical manifestations of coronavirus disease 2019 (COVID-19) overlap with those of other disorders, especially cardiovascular disease. Case presentation We herein describe a 58-year-old woman who presented with syncopal episodes and dyspnea on exertion with a left atrial (LA) mass, scheduled for surgical removal and mitral valve replacement. Nearly 3 months later, the patient developed dyspnea, fever, and a sore throat, resulting in hospital admission with suspected COVID-19. During the diagnostic evaluation, a larger LA mass was detected. The mass seemed to be a COVID-19–induced organized thrombus with prosthetic mitral valve malfunction. Resection was, therefore, planned. An immunohistochemistry study revealed a liposarcoma. Conclusions The unusual early recurrence of liposarcomas and the misdiagnosis with COVID-19–induced thrombosis are the hallmark of the present case. |
| first_indexed | 2024-12-22T05:23:05Z |
| format | Article |
| id | doaj.art-d401235f4e2d40fdb851242ec04484c7 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-22T05:23:05Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-d401235f4e2d40fdb851242ec04484c72022-12-21T18:37:40ZengBMCJournal of Cardiothoracic Surgery1749-80902021-10-011611410.1186/s13019-021-01697-3A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrenceArezou Zoroufian0Reza Mohseni-Badalabadi1Mehrdad Mahalleh2Seyyed Mojtaba Ghorashi3Sharam Momtahen4Negar Omidi5Cardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical SciencesCardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical SciencesCardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical SciencesCardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical SciencesCardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical SciencesCardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical SciencesAbstract Background The clinical manifestations of coronavirus disease 2019 (COVID-19) overlap with those of other disorders, especially cardiovascular disease. Case presentation We herein describe a 58-year-old woman who presented with syncopal episodes and dyspnea on exertion with a left atrial (LA) mass, scheduled for surgical removal and mitral valve replacement. Nearly 3 months later, the patient developed dyspnea, fever, and a sore throat, resulting in hospital admission with suspected COVID-19. During the diagnostic evaluation, a larger LA mass was detected. The mass seemed to be a COVID-19–induced organized thrombus with prosthetic mitral valve malfunction. Resection was, therefore, planned. An immunohistochemistry study revealed a liposarcoma. Conclusions The unusual early recurrence of liposarcomas and the misdiagnosis with COVID-19–induced thrombosis are the hallmark of the present case.https://doi.org/10.1186/s13019-021-01697-3LiposarcomaCOVID-19ThrombosisCase report |
| spellingShingle | Arezou Zoroufian Reza Mohseni-Badalabadi Mehrdad Mahalleh Seyyed Mojtaba Ghorashi Sharam Momtahen Negar Omidi A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence Journal of Cardiothoracic Surgery Liposarcoma COVID-19 Thrombosis Case report |
| title | A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence |
| title_full | A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence |
| title_fullStr | A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence |
| title_full_unstemmed | A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence |
| title_short | A potential misdiagnosis in the COVID-19 pandemic era: a case report of superimposed thrombosis or tumor recurrence |
| title_sort | potential misdiagnosis in the covid 19 pandemic era a case report of superimposed thrombosis or tumor recurrence |
| topic | Liposarcoma COVID-19 Thrombosis Case report |
| url | https://doi.org/10.1186/s13019-021-01697-3 |
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