Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis

The prevalence of venous thromboembolism (VTE) in COVID-19 patients is higher than in non-COVID-19 patients. Since the beginning of the pandemic, deep vein thrombosis, myocardial infarction, ischaemic stroke and pulmonary embolism (PE) have been reported in patients with COVID-19. D-dimer levels are...

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Main Authors: Yash Kripalani, Lipeeka Parulekar
Format: Article
Language:English
Published: SMC MEDIA SRL 2021-07-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/2684
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author Yash Kripalani
Lipeeka Parulekar
author_facet Yash Kripalani
Lipeeka Parulekar
author_sort Yash Kripalani
collection DOAJ
description The prevalence of venous thromboembolism (VTE) in COVID-19 patients is higher than in non-COVID-19 patients. Since the beginning of the pandemic, deep vein thrombosis, myocardial infarction, ischaemic stroke and pulmonary embolism (PE) have been reported in patients with COVID-19. D-dimer levels are now routinely measured in hospitalized patients so that prophylaxis can be initiated. However, a standardized protocol for prophylaxis has yet to be developed for pregnant women with COVID-19, who have an increased risk of VTE. We describe the case of a young primigravida woman with a positive COVID RT-PCR test who developed PE despite receiving adequate prophylaxis.
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spelling doaj.art-f1dd683bb31b491096c085415584360d2022-12-21T18:23:41ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942021-07-0110.12890/2021_0026842300Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite ProphylaxisYash Kripalani0Lipeeka Parulekar1Department of Critical Care Medicine, Holy Family Hospital Bandra, Mumbai, IndiaDepartment of General Internal Medicine, Holy Family Hospital Bandra, Mumbai, IndiaThe prevalence of venous thromboembolism (VTE) in COVID-19 patients is higher than in non-COVID-19 patients. Since the beginning of the pandemic, deep vein thrombosis, myocardial infarction, ischaemic stroke and pulmonary embolism (PE) have been reported in patients with COVID-19. D-dimer levels are now routinely measured in hospitalized patients so that prophylaxis can be initiated. However, a standardized protocol for prophylaxis has yet to be developed for pregnant women with COVID-19, who have an increased risk of VTE. We describe the case of a young primigravida woman with a positive COVID RT-PCR test who developed PE despite receiving adequate prophylaxis.https://www.ejcrim.com/index.php/EJCRIM/article/view/2684pulmonary embolism covid-19primigravidapregnancycaesarean section
spellingShingle Yash Kripalani
Lipeeka Parulekar
Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis
European Journal of Case Reports in Internal Medicine
pulmonary embolism
covid-19
primigravida
pregnancy
caesarean section
title Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis
title_full Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis
title_fullStr Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis
title_full_unstemmed Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis
title_short Pulmonary Embolism in a COVID-19-Positive Primigravida After Caesarean Section Despite Prophylaxis
title_sort pulmonary embolism in a covid 19 positive primigravida after caesarean section despite prophylaxis
topic pulmonary embolism
covid-19
primigravida
pregnancy
caesarean section
url https://www.ejcrim.com/index.php/EJCRIM/article/view/2684
work_keys_str_mv AT yashkripalani pulmonaryembolisminacovid19positiveprimigravidaaftercaesareansectiondespiteprophylaxis
AT lipeekaparulekar pulmonaryembolisminacovid19positiveprimigravidaaftercaesareansectiondespiteprophylaxis