COVID-19 diagnosis in a patient with critical limb ischemia: complications and clinical outcomes.

Autor: Soares RA; Hospital Regional Sul, Serviço de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil., Vedovello RS; Hospital Regional Sul, Serviço de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil., de Medeiros SCG; Hospital Regional Sul, Serviço de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil., Nunes CZ; Hospital Regional Sul, Serviço de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil., Sian CA; Hospital Regional Sul, Serviço de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil., Jorge PDM; Hospital Regional Sul, Serviço de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil.
Jazyk: angličtina
Zdroj: Jornal vascular brasileiro [J Vasc Bras] 2020 Sep 21; Vol. 19, pp. e20200071. Date of Electronic Publication: 2020 Sep 21.
DOI: 10.1590/1677-5449.200071
Abstrakt: A 67-year-old male diabetic patient with systemic arterial hypertension was admitted to the emergency department with a necrotic ulcer in the left external malleolus and no palpable popliteal or pedal pulses. Arterial Duplex ultrasound identified femoropopliteal occlusion, with popliteal refilling below the knee and a patent peroneal artery. An endovascular procedure was performed, requiring retrograde access to the popliteal artery to re-establish blood flow and deploy a popliteal stent. Technical success was achieved and the patient underwent debridement of the wound. Two days later, about 48 hours after the operation, the patient began to exhibit respiratory symptoms, with coughing and dyspnea. He immediately underwent a chest CT that identified ground glass opacities, the crazy-paving pattern, and bilateral air bronchogram in the lungs. A reverse transcription - polymerase chain reaction (RT-PCR) test was positive for SARS-Cov-2. The patient was moved to an intensive care unit and put on mechanical ventilation. Both hydroxychloroquine and azithromycin were administered. Despite appropriate treatment, the patient died 4 days after he was diagnosed with COVID-19.
Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
Databáze: MEDLINE
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