Thrombotic and thromboembolic complications of a new coronavirus infection COVID-19 a medical worker (a clinical case with an unfavorable outcome)

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Abstract

The presented clinical case describes severe complications of a new coronavirus infection (COVID-19) in a comorbid patient with obliterating atherosclerosis of the arteries of the lower extremities, varicose veins of the lower extremities, hypertension, in the form of late thrombosis of the arteries of the lower extremities with the development of gangrene, which was the basis for amputation of the limb. The development, in the future, of complications such as: thromboembolism of the branches of the pulmonary artery and acute left ventricular failure, which caused a fatal outcome.

The principles and results of the medical examination conducted in order to establish a causal relationship of the disease with the professional activity of a medical worker are presented. The need for a multidisciplinary approach to the early diagnosis, prevention and treatment of COVID-19 and its complications, improving the mechanisms of admission to the professional activities of medical workers taking into account age and comorbid conditions in conditions of high risk of infection with SARS-CoV-2 is emphasized.

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About the authors

L. A. Strizhakov

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: s.a.babanov@mail.ru
ORCID iD: 0000-0002-2291-6453

Professor, MD

Russian Federation, Moscow

S. A. Babanov

Samara State Medical University, Ministry of Health of Russia

Email: s.a.babanov@mail.ru
ORCID iD: 0000-0002-1667-737X

Professor, MD

Russian Federation, Samara

T. A. Azovskova

Samara State Medical University, Ministry of Health of Russia

Email: s.a.babanov@mail.ru
ORCID iD: 0000-0002-0295-6888

Candidate of Medical Sciences

Russian Federation, Samara

N. E. Lavrentyeva

Samara State Medical University, Ministry of Health of Russia

Email: s.a.babanov@mail.ru
ORCID iD: 0000-0002-7571-0328

Candidate of Medical Sciences

Russian Federation, Samara

R. A. Baraeva

Regional Center of Occupational Pathology of Samara City Hospital Five

Author for correspondence.
Email: s.a.babanov@mail.ru
ORCID iD: 0000-0002-4502-4140

Candidate of Medical Sciences

Russian Federation, Samara

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