Development of pulmonary embolism in a nonhospitalized patient with COVID-19 who did not receive venous thromboembolism prophylaxis
| Autor: | Ellen M Uppuluri, Nancy L. Shapiro |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty pulmonary embolism Coronavirus disease 2019 (COVID-19) Pyridones Pneumonia Viral venous thromboembolism Aftercare Case Report 030204 cardiovascular system & hematology Vte prophylaxis Chest pain 03 medical and health sciences 0302 clinical medicine Risk Factors Thromboembolism Medicine Humans 030212 general & internal medicine cardiovascular diseases anticoagulation Stroke Pandemics Pharmacology business.industry Health Policy Anticoagulants COVID-19 Emergency department Overweight medicine.disease equipment and supplies Patient Discharge Pulmonary embolism Treatment Outcome Emergency medicine Pyrazoles AcademicSubjects/MED00410 prophylaxis medicine.symptom business Coronavirus Infections Venous thromboembolism Thrombotic complication |
| Zdroj: | American Journal of Health-System Pharmacy American Journal of Health-System Pharmacy: AJHP |
| ISSN: | 1535-2900 1079-2082 |
| DOI: | 10.1093/ajhp/zxaa286 |
| Popis: | Purpose Coronavirus disease 2019 (COVID-19) has been associated with thrombotic complications such as stroke and venous thromboembolism (VTE), and VTE prophylaxis for hospitalized patients with COVID-19 is recommended. However, extended postdischarge VTE prophylaxis and VTE prophylaxis for nonhospitalized patients with COVID-19 are not routinely recommended due to uncertain benefit in these populations. Summary Here we report development of a pulmonary embolism (PE) in a young patient without other VTE risk factors who was treated for COVID-19 in an emergency department (ED) and discharged home without VTE prophylaxis, which was consistent with current recommendations. The patient presented to the ED 12 days later with complaints of chest pain for 1 day and was found to have a PE within the segmental and subsegmental branches of the left lower lobe. Conclusion This case suggests that nonhospitalized patients with COVID-19 may be at higher risk for VTE than patients with other medical illnesses and warrants further research into the risk of VTE in outpatients with COVID-19. |
| Databáze: | OpenAIRE |
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