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Published on: December 19, 2020
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Systemic Capillary Leak Syndrome Secondary to Coronavirus Disease 2019
Robert Case1, Aliaksandr Ramaniuk1, Pamela Martin1
1University of Florida Health, Gainesville, FL.
Chest
|July 6, 2020
Summary
Systemic capillary leak syndrome (SCLS) is a rare disorder. This case report details the first instance of SCLS occurring alongside a COVID-19 infection, highlighting a new inflammatory complication.
Area of Science:
- Internal Medicine
- Infectious Diseases
- Critical Care Medicine
Background:
- Systemic capillary leak syndrome (SCLS) is a rare, life-threatening disorder.
- SCLS involves endothelial dysfunction and plasma extravasation, leading to shock and organ failure.
- Viral infections are a known potential trigger for SCLS.
Observation:
- A patient with acute coronavirus disease 2019 (COVID-19) presented with symptoms of SCLS, including hemoconcentration, shock, and hypoalbuminemia.
- The patient also developed severe complications, such as rhabdomyolysis and compartment syndrome in all four extremities, necessitating fasciotomies.
Findings:
- This case represents the first documented instance of SCLS occurring in conjunction with a COVID-19 infection.
- The clinical presentation underscores the potential for severe inflammatory responses triggered by SARS-CoV-2.
Implications:
- This case expands the known spectrum of inflammatory complications associated with COVID-19.
- It suggests that SCLS should be considered in the differential diagnosis of patients with severe COVID-19 presenting with shock and hemoconcentration.
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