Open AccessThromboelastometry early identifies thrombotic complications related to COVID-19: A case report
Author(s) -
Raíssa Lanna Araújo San Martin,
Tomaz Crochemore,
F Savioli,
Fernanda Oliveira Coelho,
Rogério da Hora Passos
Publication year - 2021
Publication title -
sage open medical case reports
Language(s) - English
Resource type - Journals
ISSN - 2050-313X
DOI - 10.1177/2050313x211033160
Subject(s) - medicine , thromboelastometry , coagulopathy , thrombosis , pulmonary embolism , pneumonia , complication , intensive care medicine , surgery
COVID-19 is a contagious infectious disease, which quickly spreads worldwide, whose clinical presentation includes from mild flu-like symptoms to pneumonia and severe acute respiratory syndrome. The severe presentation of the disease can affect different organs and systems. Coagulopathy has been associated with a worse clinical outcome, with manifestations such as pulmonary embolism and systemic arterial thrombosis. Thromboelastometry has been used to identify hypercoagulability in early stages of disease. We report the case of a 59-year-old woman with COVID-19 infection complicated by pulmonary embolism and acute arterial thrombosis associated with critical lower limb ischemia requiring amputation. This report showed a case of thrombotic complication in patient with infection caused by novel coronavirus 2019 whose thromboelastometry allowed the early identification of hypercoagulability pattern. This is a single case report and the use of thromboelastometry should be further evaluated in large prospective cohort studies.