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Multiple Arterial Thrombosis in a COVID Patient With No Known Comorbidities With Mild Elevation of D-Dimer
Nader Mekheal1, Sherif Roman1, Patrick Michael1
1Internal Medicine, St. Joseph's University Medical Center, Paterson, USA.
Insights
This case study highlights a fatal outcome in a patient with mild D-dimer elevation and no comorbidities following coronavirus (COVID-19) infection. It underscores the unpredictable nature of COVID-19 hypercoagulability, even in seemingly low-risk individuals.
Area of Science:
- Medicine
- Infectious Diseases
- Cardiology
Background:
- The coronavirus (COVID-19) pandemic presents significant challenges in patient management.
- Hypercoagulability is a known, devastating complication of COVID-19, increasing risks for critically ill patients with comorbidities like hypertension and diabetes.
- Current management relies on D-dimer levels and clinical assessment to guide anticoagulation therapy.
Abstract:
Since the coronavirus (COVID-19) pandemic started, new challenges have emerged regarding the management of coronavirus-infected patients. One of the most known devastating complications associated with COVID-19 is hypercoagulability. This can lead to severe disability or even death, especially in critically ill patients with known chronic comorbidities such as hypertension (HTN) and diabetes. D-dimer and clinical condition are among the most important tools currently used by clinicians to guide therapy and anticoagulation prophylaxis. Here we present a case of a COVID-19-infected patient with no known comorbidities and mild elevation in initial D-dimer level who had a rapid deterioration ultimately leading to death within weeks of admission.
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