Embolia pulmonar aguda extensa como complicação de COVID-19 oligossintomática: relato de caso
Extensive pulmonary embolism as complication of oligosymptomatic COVID-19: case report
Ailton Carvalho Barbosa Junior; Lívia Silva de Paula Faria; Larissa Freitas Peixoto Gloria; Graziella Viana da Silva; Paulo Henrique Ribeiro de Oliveira; Fabiano Vieira de Araujo; Felipe Eulalio Baldi Pessanha
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Abstract
Although the pathophysiology of coagulopathy associated with the 2019 coronavirus disease (COVID-19) is not well known, occurrence of pulmonary embolism (PE) is frequently observed. However, few cases have been described in the literature in which patients who had asymptomatic COVID-19, with no risk factors for venous thromboembolism (VTE), presented extensive acute PE. We report the case of a patient with asymptomatic COVID-19, complicated by deep vein thrombosis and later by extensive acute PE, suggesting that these conditions should be systematically considered, even in asymptomatic COVID-19 patients with no known risk factors for VTE.
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References
1 Akiyama Y, Horiuchi K, Kondo Y, Kabata H, Ishii M, Fukunaga K. A case of non-severe COVID-19 complicated by pulmonary embolism. Respirol Case Rep. 2020;8(7):e00622.
2 Schulman S, Hu Y, Konstantinides S. Venous thromboembolism in COVID-19. Thromb Haemost. 2020;120(12):1642-53.
3 Righini M, Robert-Ebadi M, Le Gal G. Diagnosis of acute pulmonary embolism. J Thromb Haemost. 2017;15(7):1251-61.
4 Suh YJ, Hong H, Ohana M, et al. Pulmonary embolism and deep vein thrombosis in COVID-19: a systematic review and meta-analysis. Radiology. 2021;298(2):E70-80.
5 Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur Respir J. 2019;54(3):1901647.
6 Kearon C, Akl EA, Comerota AJ, et al. Antithrombotic therapy for VTE. Chest. 2012;141(2, Suppl):e419S-96S.
7 Polat V, Bostancı GI. Sudden death due to acute pulmonary embolism in a young woman with COVID-19. J Thromb Thrombolysis. 2020;50(1):239-41. PMid:32394237.
8 Alharthy A, Balhamar A, Faqihi F, et al. Insidious development of pulmonary embolism in asymptomatic patients with COVID-19: two rare case-reports. Respir Med Case Rep. 2020;31:101186.
9 Beckman M, Nyrén S, Kistner A. A case-report of widespread pulmonary embolism in a middle-aged male seven weeks after asymptomatic suspected COVID 19 infection. Thromb J. 2020;18(1):19.
10 Borges NH, Godoy TM, Pereira MRC, et al. Pulmonary thromboembolism in a young patient with asymptomatic COVID-19. Arq Bras Cardiol. 2020;115(6):1205-7.
Submitted date:
04/16/2021
Accepted date:
07/08/2021