A 38-year-old male patient presented with a history of dyspnea and palpitations, diagnosed with acute pulmonary embolism in COVID-19.
This article describes the case of a 38-year-old male patient with acute pulmonary embolism in COVID-19. The patient suffering from obesity presented to the emergency department with complaint of a 3-day history of dyspnea and palpitations. He felt that his heart was “jumping out from his chest”.
He had progressively worsening pain in his leg for the past week. Moreover, his work required him to sit for long periods of time. Although he quit his job 3 years ago. His medical history revealed that he quit smoking three years ago.
On examination his temperature was 36.8°C, blood pressure 80/60 mmHg, pulse rate 148 beats/minute and respiratory rate 26 breaths/minute with 83% oxygen saturation on ambient air. In addition, chest auscultation was remarkable of wheezing, crackles and stridor. Laboratory tests showed thrombocytopenia, elevated D-Dimer, aPTT and lactate dehydrogenase. موقع وليام هيل للمراهنات The patient was positive for SARS-CoV-2. EKG revealed sinus tachycardia with rightward axis deviation.
Chest X-ray showed patchy infiltrates in the right upper lung and left mid lower lung peripherally with mild elevation of right hemidiaphragm. CT scan further showed an extensive prominent multifocal acute bilateral pulmonary embolism.
Doctors diagnosed the patients with viral pneumonia.
The patient was on 5,000 units of IV heparin as prophylaxis for DVT. The prophylaxis was a part of the hospital protocol. استراتيجية روليت The heparin was alternated with a one-time subcutaneous injection of enoxaparin 100 mg subsequently. Treatment included administering oral anticoagulant twice daily on the third day of admission. After being in the hospital for 7 days, he was clinically stable. He was discharged with home oxygen. Doctors instructed him to continue oral anticoagulants for 3 months.
References
More than Just Pneumonia: Acute Pulmonary Embolism in Two Middle-Aged Patients with COVID-19 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7396098/
