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Concomitant acute limb ischemia and multiple acute ischemic strokes complicating COVID-19: a case report

Falmata Laouan Brem1, Taha Abu-Al-Tayef2, Hammam Rasras1

  • 1Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Oujda, Morocco.

The Pan African Medical Journal
|June 14, 2021
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause severe arterial thrombotic events, including limb ischemia and strokes. This case highlights the critical need for anticoagulation in COVID-19 patients to prevent such vascular complications.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • The COVID-19 pandemic has seen a rise in cardiovascular complications, particularly thrombotic events in critically ill patients.
  • While venous thromboembolism is common in SARS-CoV-2 infection, arterial thromboembolism is less frequently reported.

Observation:

  • A case of COVID-19 is presented with concurrent acute right limb ischemia and multiple acute ischemic strokes.
  • This presentation signifies a severe manifestation of the hypercoagulable state associated with SARS-CoV-2 infection.

Findings:

  • The patient experienced both limb ischemia and cerebral ischemia, indicating widespread arterial thrombotic complications.
  • This case underscores the potential for severe arterial events in COVID-19 patients, even beyond venous thromboembolism.

Implications:

  • The findings emphasize the importance of recognizing and managing the hypercoagulable state in COVID-19.
  • Proactive anticoagulation therapy is crucial for preventing severe arterial thrombotic events and improving outcomes in SARS-CoV-2 infected individuals.

Keywords:
COVID-19acute ischemic strokeanticoagulationarterial thrombosiscase report

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