tetano
Editor, Senior Moderator
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[SUP] 1 2 [/SUP], Liz E De Coll-Vela[SUP] 1 3 [/SUP], Claudia Peña-Coello[SUP] 1 [/SUP], Deli Guillen-Buleje[SUP] 1 [/SUP], Noé Atamari-Anahui[SUP] 1 2 [/SUP], Luis Gomez-Martinez[SUP] 1 [/SUP], Cynthia L Huby-Muñoz[SUP] 1 4 [/SUP], Mariela K Zamudio-Aquise[SUP] 1 5 [/SUP], Raúl R Bernal-Mancilla[SUP] 1 3 [/SUP]
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[SUP] 1 2 [/SUP], Liz E De Coll-Vela[SUP] 1 3 [/SUP], Claudia Peña-Coello[SUP] 1 [/SUP], Deli Guillen-Buleje[SUP] 1 [/SUP], Noé Atamari-Anahui[SUP] 1 2 [/SUP], Luis Gomez-Martinez[SUP] 1 [/SUP], Cynthia L Huby-Muñoz[SUP] 1 4 [/SUP], Mariela K Zamudio-Aquise[SUP] 1 5 [/SUP], Raúl R Bernal-Mancilla[SUP] 1 3 [/SUP]
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.