Open AccessPeripheral ischemic limb necrosis (Acro-ischemia) associated with severe COVID-19 patients (COVID-19 limbs): A report of three cases
Author(s) -
Khaled Khattab,
Axel Kempa,
Riza Atas,
Harun Asani,
Ahmed Ehab
Publication year - 2021
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/lungindia.lungindia_470_20
Subject(s) - medicine , ards , intensive care unit , mechanical ventilation , covid-19 , disseminated intravascular coagulation , ischemia , critical limb ischemia , peripheral , severity of illness , acute respiratory distress , cardiology , intensive care medicine , disease , vascular disease , lung , arterial disease , infectious disease (medical specialty)
The association between severe coronavirus disease 2019 and hypercoagulable state was observed in many reports. This may be explained by the presence of hypoxia, severe systemic inflammatory response, immobilization due to intensive care unit (ICU) admission, and diffuse intravascular coagulation. We report three patients who were admitted to our respiratory ICU with acute severe respiratory distress syndrome (ARDS) requiring mechanical ventilation due severe acute respiratory syndrome coronavirus 2 infection, who developed severe limb ischemia during the course of the disease.