Phlegmasia cerulea dolens associated with acute coronavirus disease 2019 pneumonia despite supratherapeutic warfarin anticoagulation

Autor: Tristen T. Chun, MD, Juan Carlos Jimenez, MD, MBA, Joe L. Pantoja, MD, John M. Moriarty, MD, Shanna Freeman, NP
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 4, Pp 653-656 (2020)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2020.10.002
Popis: Patients with acute coronavirus disease 2019 (COVID-19) respiratory infection are associated with concomitant thromboembolic complications and a hypercoagulable state. Although these mechanisms are not completely understood, unique alterations in the serum markers for hemostasis and thrombosis have been detected. A high index of suspicion is required by vascular surgeons for patients presenting with this novel virus. We present the case of a 51-year-old man with acute COVID-19 pneumonia who developed phlegmasia cerulea dolens despite chronic warfarin therapy and a supratherapeutic international normalized ratio.
Databáze: Directory of Open Access Journals