tetano
Editor, Senior Moderator
Chest
. 2020 Dec;158(6):e269-e271.
doi: 10.1016/j.chest.2020.06.024.
Extensive DVT and Pulmonary Embolism Leading to the Diagnosis of Coronavirus Disease 2019 in the Absence of Severe Acute Respiratory Syndrome Coronavirus 2 Pneumonia
Quentin Delcros[SUP] 1 [/SUP], Julien Rohmer[SUP] 1 [/SUP], Colas Tcherakian[SUP] 2 [/SUP], Matthieu Groh[SUP] 3 [/SUP]
Affiliations
Abstract
There is growing evidence that coronavirus disease 2019 (COVID-19) is associated with a hypercoagulable state. To date, all patients reported with venous thromboembolic disease and COVID-19 have shown evidence of viral pneumonia. Here, we report the case of a 31-year-old patient with unexplained extensive DVT and bilateral pulmonary embolism in the absence of COVID-19 pneumonia, leading to the diagnosis of otherwise asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In the context of the COVID-19 pandemic, given the high rates of otherwise asymptomatic patients, testing for SARS-CoV-2 should be performed in all patients with unexplained VTE occurring in COVID-19-endemic areas, even in the absence of other disease manifestations suggestive of SARS-CoV-2 infection.
Keywords: acute pulmonary embolism; coronavirus disease 2019; venous thromboembolic disease.
. 2020 Dec;158(6):e269-e271.
doi: 10.1016/j.chest.2020.06.024.
Extensive DVT and Pulmonary Embolism Leading to the Diagnosis of Coronavirus Disease 2019 in the Absence of Severe Acute Respiratory Syndrome Coronavirus 2 Pneumonia
Quentin Delcros[SUP] 1 [/SUP], Julien Rohmer[SUP] 1 [/SUP], Colas Tcherakian[SUP] 2 [/SUP], Matthieu Groh[SUP] 3 [/SUP]
Affiliations
- PMID: 33280767
- DOI: 10.1016/j.chest.2020.06.024
Abstract
There is growing evidence that coronavirus disease 2019 (COVID-19) is associated with a hypercoagulable state. To date, all patients reported with venous thromboembolic disease and COVID-19 have shown evidence of viral pneumonia. Here, we report the case of a 31-year-old patient with unexplained extensive DVT and bilateral pulmonary embolism in the absence of COVID-19 pneumonia, leading to the diagnosis of otherwise asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In the context of the COVID-19 pandemic, given the high rates of otherwise asymptomatic patients, testing for SARS-CoV-2 should be performed in all patients with unexplained VTE occurring in COVID-19-endemic areas, even in the absence of other disease manifestations suggestive of SARS-CoV-2 infection.
Keywords: acute pulmonary embolism; coronavirus disease 2019; venous thromboembolic disease.