tetano
Editor, Senior Moderator
Cureus
. 2020 Jul 26;12(7):e9406.
doi: 10.7759/cureus.9406.
Bilateral Pulmonary Embolism in a Discharged Patient With Resolved COVID-19 Pneumonia
Mrunal Koche[SUP] 1 [/SUP], Samuel Bechmann[SUP] 2 [/SUP], Ivie S Omoruyi[SUP] 1 [/SUP]
Affiliations
Abstract
Thromboembolic events with coronavirus disease 2019 (COVID-19) infection, such as pulmonary embolism, have been described in recent literature as a manifestation in patients during their hospital admission. Our case report describes a delayed manifestation of bilateral pulmonary embolism in a patient who was discharged home. The patient is a 40-year-old COVID-19 positive male that presented to the emergency department eight days after his discharge with shortness of breath and diaphoresis. On triage, the patient was hypoxic and tachycardic, prompting a high index of suspicion for pulmonary embolism. Computed tomographic angiography of the chest was performed confirming the presence of a bilateral pulmonary embolism. Subsequently, the patient was started on heparin and transferred to a tertiary facility for thrombectomy. Pulmonary embolism is a manifestation of acute COVID-19 infection. It is important for clinicians to have an increased suspicion for pulmonary embolism in patients presenting with worsening dyspnea and hypoxia who were recently admitted for acute COVID-19 pneumonia. Patients that were hospitalized for acute presentation of COVID-19 infection should reasonably be considered for extended anticoagulant therapy after discharge.
Keywords: covid-19; deep vein thrombosis (dvt); pulmonary embolism (pe).
. 2020 Jul 26;12(7):e9406.
doi: 10.7759/cureus.9406.
Bilateral Pulmonary Embolism in a Discharged Patient With Resolved COVID-19 Pneumonia
Mrunal Koche[SUP] 1 [/SUP], Samuel Bechmann[SUP] 2 [/SUP], Ivie S Omoruyi[SUP] 1 [/SUP]
Affiliations
- PMID: 32864235
- PMCID: PMC7449642
- DOI: 10.7759/cureus.9406
Abstract
Thromboembolic events with coronavirus disease 2019 (COVID-19) infection, such as pulmonary embolism, have been described in recent literature as a manifestation in patients during their hospital admission. Our case report describes a delayed manifestation of bilateral pulmonary embolism in a patient who was discharged home. The patient is a 40-year-old COVID-19 positive male that presented to the emergency department eight days after his discharge with shortness of breath and diaphoresis. On triage, the patient was hypoxic and tachycardic, prompting a high index of suspicion for pulmonary embolism. Computed tomographic angiography of the chest was performed confirming the presence of a bilateral pulmonary embolism. Subsequently, the patient was started on heparin and transferred to a tertiary facility for thrombectomy. Pulmonary embolism is a manifestation of acute COVID-19 infection. It is important for clinicians to have an increased suspicion for pulmonary embolism in patients presenting with worsening dyspnea and hypoxia who were recently admitted for acute COVID-19 pneumonia. Patients that were hospitalized for acute presentation of COVID-19 infection should reasonably be considered for extended anticoagulant therapy after discharge.
Keywords: covid-19; deep vein thrombosis (dvt); pulmonary embolism (pe).