COVID-19 Associated Coagulopathy in the Setting of Underlying Malignancy

Su Lin Lim1, Kok Hoe Chan1, Jihad Slim2

  • 1Internal Medicine, Saint Michael's Medical Center, Newark, USA.

Cureus
|October 2, 2020
PubMed

Insights

COVID-19 coagulopathy can cause dangerous blood clots like deep vein thrombosis (DVT) and pulmonary embolism (PE), even during anticoagulation therapy. This case highlights the unpredictable nature of COVID-19

Area of Science:

  • Hematology
  • Oncology
  • Infectious Diseases

Background:

  • COVID-19 is associated with coagulopathy, increasing risks of deep vein thrombosis (DVT) and pulmonary embolism (PE).
  • Current guidelines for therapeutic anticoagulation in COVID-19 patients are lacking.
  • Metastatic malignancies present a known thrombophilic state.

Observation:

  • A confirmed COVID-19 patient with metastatic ovarian cancer developed DVT and PE.
  • The patient was already receiving therapeutic anticoagulation at the time of presentation.

Findings:

  • This case demonstrates the unpredictable and severe coagulopathy associated with COVID-19.
  • COVID-19 may exacerbate the inherent thrombophilic state in patients with metastatic cancer.

Implications:

  • Highlights the challenges in managing anticoagulation for COVID-19 patients due to a lack of evidence-based guidelines.
  • Suggests a potential synergistic effect between COVID-19 and malignancy on thrombogenesis.
  • Emphasizes the need for individualized treatment strategies in complex cases.

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