Kamceva, Gordana and Trajkovska, Radojka and Dokuzova, Stojka (2022) Covid-19 patient and acute pulmonary embolism. In: First Macedonian Congress in Internal Medicine "A Mutual Multidisciplinary Approach Towards the Guidelines Challenges", 19-22 May 2022, Hotel Metropol - Ohrid, RNM.
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Abstract
Introduction: Thrombotic complications in patients diagnosed with coronavirus disease 2019 are emerging as important sequelae that contribute to significant morbidity and mortality. Pulmonary embolism, deep vein thrombosis, ischemic stroke and myocardial infarction are examples of complications described in patients.
Objective: To present a case in a patient with COVID 19 infection and acute pulmonary embolism.
Material and methods: A 80-year-old female patient was hospitalized due to symptoms of dry cough, scratching in the throat, fever, malaise. Unvaccinated for COVID 19. A quick COVID 19 test was positive. ECG: AFF with SF 160/min, TA 150/95, SpO2 92%. Lung auscultation is heard vesicular breathing with crepitations on both sides of the base. Within a few days, the patient's symptoms worsened.
Results: CT native of chest - multiple zones of milk glass attenuation bilaterally peripherally distributed (Figure 1). CT pulmonary angiography - Sings of massive PTE: defects in filling in principal pulmonary vessels as well as in segmental and subsegmental branches bilaterally (Figure 1). Laboratory analysis (Le 14.83x109/L, hsTroponin 22ng/L, LDH 395U/L, CRP 29mg/L, D dimer 30480.
Conclusion: Pulmonary embolism is a common emergency that may easily be missed because of its varied presentation. It is associated with breathlessness, which may or may not be insidious, and requires a high index of suspicion in order to diagnose. Left untreated, it is potentially fatal.
Key words: Covid 19, acute pulmonary embolism, complications
| Item Type: | Conference or Workshop Item (Paper) |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Gordana Kamceva |
| Date Deposited: | 23 Jan 2024 09:43 |
| Last Modified: | 23 Jan 2024 09:43 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/33255 |
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