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Published on: December 19, 2020
Disseminated intravascular coagulation as a form of presentation of coronavirus-19 disease. Clinical case
O Comino-Trinidad1, A Calvo1, A Ojeda1
1Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Clínico de Barcelona, Barcelona, España.
Abstract:
The covid-19 disease (coronavirus disease 2019) is a novel disease causing a world pandemic. Its presentation varies from an asymptomatic infection to a pneumonia with acute respiratory distress syndrome. We present a case presenting initially as a covid-19 pneumonia together with a disseminated intravascular coagulopathy consisting of arterial and venous thrombosis in different locations and a shock requiring admission in the intensive care unit. The abnormal coagulation test in covid-19 patients have been described since the first cases observed in Wuhan, China, as well as an increased incidence of venous thrombosis. On the contrary, a higher incidence of arterial thrombosis has not been described in these patients. The unusual case we present could be a manifestation of this altered tests.
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