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COVID-19 Presenting as Acute Limb Ischaemia

Parminder Kaur1, Sahitya Posimreddy1, Balraj Singh2

  • 1Cardiology, Saint Joseph's University Medical Center, Paterson, New Jersey, USA.

European Journal of Case Reports in Internal Medicine
|June 12, 2020
PubMed

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause arterial thrombosis, leading to acute limb ischemia. This case highlights the importance of suspecting vascular emergencies in COVID-19 patients.

Area of Science:

  • Cardiovascular Medicine
  • Infectious Diseases
  • Vascular Surgery

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, has significant health and economic impacts.
  • While COVID-19 complications include coagulation issues, literature on thrombosis is limited.
  • Disseminated coagulation and thrombosis are known complications of COVID-19.

Purpose of the Study:

  • To report an unusual case of arterial thrombosis in a COVID-19 patient.
  • To add to the limited literature on COVID-19-related vascular manifestations.
  • To emphasize the need for vigilance regarding acute limb ischemia in COVID-19.

Main Methods:

  • Case report of a 43-year-old male with diabetes and hypertension.
  • Presentation with dyspnea and acute right leg pain.
  • Diagnosis of acute limb ischemia and diabetic ketoacidosis.

Main Results:

  • The patient presented with symptoms indicative of acute limb ischemia.
  • Diabetic ketoacidosis was also diagnosed concurrently.
  • The case demonstrates a link between COVID-19 and arterial thrombosis.

Conclusions:

  • Acute limb ischemia, a form of arterial thrombosis, can be a manifestation of COVID-19.
  • A high index of suspicion for acute limb ischemia is crucial in COVID-19 patients.
  • Acute limb ischemia is a vascular emergency requiring prompt recognition and management.

Keywords:
COVID-19arterial thrombosissevere acute respiratory syndrome coronavirus 2

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