Pulmonary thromboembolism in a young female patient due to the novel coronavirus infection

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Abstract

Article presents a case of sudden PATE after COVID-19 in a 36-year-old female patient. The patient was admitted to the cardiology department with complaints of mixed dyspnea. She had suffered from COVID-19 about a month earlier and had syncope condition the same month. After admission to the hospital, the patient was diagnosed with bilateral polysegmental interstitial pneumonia, and three days later she was discharged for outpatient treatment. Having suffered episodes of loss of consciousness three times a few days after discharge, she went to the city hospital on her own. On examination, the condition is satisfactory, body temperature is 36,8 °C, SpO2 is 91%, blood pressure is 130/70 mm Hg, pulse is 80/min. Ultrasound of the veins of the lower extremities - no signs of thrombosis. According to MSCT angipulmonography data, two days after the appeal, the patient was diagnosed with thromboembolism of the pulmonary artery and its branches. This observation allows us to conclude that the high incidence of thromboembolism in COVID-19 requires clinical vigilance regarding this complication even among young people and consideration of the appointment of anticoagulants, regardless of the treatment conditions.

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About the authors

Vera N. Larina

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Dr. med. habil., professor of the Department of polyclinic therapy, faculty of medicine

Dmitry G. Karpenko

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

PhD in Medicine, associate professor of the Department of polyclinic therapy, faculty of medicine

Elena N. Serova

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

PhD in Medicine, associate professor of the Department of polyclinic therapy, faculty of medicine

Alina A. Ryzhikh

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

postgraduate student of the Department of polyclinic therapy, faculty of medicine

Andrey A. Tyazhelnikov

Consultative and Diagnostic Polyclinic No. 121 of the Department of Healthcare of Moscow

PhD in Medicine, chief physician

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