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Ann Vasc Dis . Subacute Limb Ischemia Suspected from COVID-19-Related Arterial Thrombosis Presenting with Local Occlusion Site Tenderness

tetano

Editor, Senior Moderator
Ann Vasc Dis


. 2024 Jun 25;17(2):197-200.
doi: 10.3400/avd.cr.23-00115. Epub 2024 Apr 10. Subacute Limb Ischemia Suspected from COVID-19-Related Arterial Thrombosis Presenting with Local Occlusion Site Tenderness

Kenshiroh Kawabe[SUP] 1 [/SUP], Masamitsu Suhara[SUP] 1 2 [/SUP], Ryosuke Taniguchi[SUP] 1 [/SUP], Yasuaki Mochizuki[SUP] 1 [/SUP], Toshio Takayama[SUP] 1 [/SUP], Katsuyuki Hoshina[SUP] 1 [/SUP]



Affiliations
Abstract

A 59-year-old man was admitted to our hospital with severe popliteal fossa pain and mild left calf claudication. He had had an episode of pyrexia and dyspnea approximately 3 weeks prior. Contrast-enhanced computed tomography revealed acute occlusion of the left popliteal artery and multiple infiltration shadows with bilateral multifocal parenchymal consolidation of the lungs, suggesting post-coronavirus disease 2019 (COVID-19) pneumonia. As he had no comorbid risk of cardiogenic embolism or atherosclerosis, we diagnosed him with COVID-19-related arterial thrombosis. COVID-19-related arterial thrombosis should be considered a possible cause of acute limb ischemia, even when ischemic symptoms occur several weeks post infection.

Keywords: COVID-19-related thrombosis; acute limb ischemia; in situ thrombosis.

 
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