Cureus . Multiple Arterial Thrombosis in a COVID Patient With No Known Comorbidities With Mild Elevation of D-Dimer

[tetano]

Cureus


. 2021 Feb 7;13(2):e13207.
doi: 10.7759/cureus.13207.
Multiple Arterial Thrombosis in a COVID Patient With No Known Comorbidities With Mild Elevation of D-Dimer


Nader Mekheal ¹ , Sherif Roman ¹ , Patrick Michael ¹



Affiliations

• PMID: 33717746
• PMCID: PMC7943694
• DOI: 10.7759/cureus.13207

Abstract

Since the coronavirus (COVID-19) pandemic started, new challenges have emerged regarding the management of coronavirus-infected patients. One of the most known devastating complications associated with COVID-19 is hypercoagulability. This can lead to severe disability or even death, especially in critically ill patients with known chronic comorbidities such as hypertension (HTN) and diabetes. D-dimer and clinical condition are among the most important tools currently used by clinicians to guide therapy and anticoagulation prophylaxis. Here we present a case of a COVID-19-infected patient with no known comorbidities and mild elevation in initial D-dimer level who had a rapid deterioration ultimately leading to death within weeks of admission.

Keywords: arterial thrombosis; coronavirus; covid 19; d-dimer; hypercoagulability; limb ischemia; multiple arterial thrombosis; sars-cov-2; stroke.