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Bol Med Hosp Infant Mex
. 2023;80(Supl 1):33-39.
doi: 10.24875/BMHIM.22000076. Pulmonary embolism in an adolescent with COVID-19 pneumonia
Héctor Nuñez-Paucar 1 2 , Liz E De Coll-Vela 1 3 , Claudia Peña-Coello 1 , Deli Guillen-Buleje 1 , Noé Atamari-Anahui 1 2 , Luis Gomez-Martinez 1 , Cynthia L Huby-Muñoz 1 4 , Mariela K Zamudio-Aquise 1 5 , Raúl R Bernal-Mancilla 1 3
Affiliations
in English, Spanish
Background: Pulmonary embolism (PE) is a complication reported in the adult population with coronavirus disease 2019 (COVID-19); however, its documentation in the pediatric population is limiteda.
Case report: We report the case of a 15-year-old male with obesity and Down syndrome who was admitted for severe COVID-19 pneumonia. On day 7 of admission, he presented with chest pain, hemoptysis, respiratory distress, and marked elevation of D-dimer. Pulmonary CT angiography found an extensive thrombus in the right lower lobar artery. He received treatment with enoxaparin and rivaroxaban and had a favorable clinical outcome. In the tomographic control 1 month after treatment, thrombus was not evidenced and was successfully resolved.
Conclusions: There are few reports of PE in children with COVID-19. Prompt diagnosis and early anticoagulant treatment are important to avoid life-threatening complications.
Keywords: COVID-19; Children; Coronavirus disease 2019; Embolia pulmonar; Neumonía; Niños; Pneumonia; Pulmonary embolism; SARS-CoV-2.
. 2023;80(Supl 1):33-39.
doi: 10.24875/BMHIM.22000076. Pulmonary embolism in an adolescent with COVID-19 pneumonia
Héctor Nuñez-Paucar 1 2 , Liz E De Coll-Vela 1 3 , Claudia Peña-Coello 1 , Deli Guillen-Buleje 1 , Noé Atamari-Anahui 1 2 , Luis Gomez-Martinez 1 , Cynthia L Huby-Muñoz 1 4 , Mariela K Zamudio-Aquise 1 5 , Raúl R Bernal-Mancilla 1 3
Affiliations
- PMID: 37490691
- DOI: 10.24875/BMHIM.22000076
in English, Spanish
Background: Pulmonary embolism (PE) is a complication reported in the adult population with coronavirus disease 2019 (COVID-19); however, its documentation in the pediatric population is limiteda.
Case report: We report the case of a 15-year-old male with obesity and Down syndrome who was admitted for severe COVID-19 pneumonia. On day 7 of admission, he presented with chest pain, hemoptysis, respiratory distress, and marked elevation of D-dimer. Pulmonary CT angiography found an extensive thrombus in the right lower lobar artery. He received treatment with enoxaparin and rivaroxaban and had a favorable clinical outcome. In the tomographic control 1 month after treatment, thrombus was not evidenced and was successfully resolved.
Conclusions: There are few reports of PE in children with COVID-19. Prompt diagnosis and early anticoagulant treatment are important to avoid life-threatening complications.
Keywords: COVID-19; Children; Coronavirus disease 2019; Embolia pulmonar; Neumonía; Niños; Pneumonia; Pulmonary embolism; SARS-CoV-2.