Death due to Cardiac Arrest in a Young Female With Highly Suspected COVID-19: A Case Report
Autor: | Jumana H. Ismail, Magda S Rizk, Aml Baioumy, Sherif Ali Mohtady Mohamed, Osama Abo El-Hassan |
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Rok vydání: | 2020 |
Předmět: |
Pediatrics
medicine.medical_specialty pulmonary embolism Pulmonology Coronavirus disease 2019 (COVID-19) false-negative Infectious Disease cardiac arrest Disease 030204 cardiovascular system & hematology coagulopathy 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Coagulopathy case report Young female young business.industry Organ dysfunction General Engineering medicine.disease mortality Pulmonary embolism Pneumonia female covid-19 Public Health medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.10127 |
Popis: | Despite the common clinical presentations of the pandemic coronavirus disease of 2019 (COVID-19) being well-known, there remain issues on its atypical or rare presentations. Moreover, despite the known risk factors for severe COVID-19 are cardiovascular disease, diabetes mellitus, hypertension, chronic lung disease, and advanced age, still younger patients suffer from this disease. Herein, we present a case report of a 28-year-old female patient who was presented to the ED with cardiac arrest, then died within 12 hours. First swab testing by reverse transcription-polymerase chain reaction (RT-PCR) came negative. However, she has typical CT features of COVID-19 pneumonia, along with an echocardiographic picture of acute cor pulmonale. Though it is rare, cardiac arrest can happen in young apparently healthy patients with COVID-19. As COVID-19 patients are commonly having clotting disorders, endothelial and organ dysfunction, coagulopathy, and liable for pulmonary thromboembolism (PTE), it is important to select those COVID-19 patients who are at higher risk of PTE, and practice CT pulmonary angiography (CTPA) for the diagnosis of PTE, especially in case of significant increase of D-dimer values. |
Databáze: | OpenAIRE |
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