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A Case Report on Extensive Arterial Thrombosis: A Rare Complication of COVID-19 Infection

Shobha Mandal1, Sumit Gami2,3, Sushmita Khadka1

  • 1Internal Medicine, Guthrie Robert Packer Hospital, Sayre, USA.

Cureus
|July 12, 2021
PubMed

Insights

This case study highlights that arterial clots can be an early, fatal symptom of Coronavirus disease (COVID-19). Prompt recognition of these thrombotic complications in COVID-19 patients is crucial for timely intervention and improved outcomes.

Area of Science:

  • Vascular Medicine
  • Infectious Diseases
  • Hematology

Background:

  • Coronavirus disease (COVID-19) is a significant global health concern associated with increased morbidity and mortality.
  • COVID-19 is linked to hypercoagulability, characterized by heightened activation of the clotting system.
  • Thrombotic complications, including arterial clots, pose a serious risk of life-threatening events in COVID-19 patients.

Observation:

  • A 70-year-old patient positive for COVID-19 presented with severe pain in both lower extremities and forearms.
  • Diagnostic workup revealed extensive arterial thrombosis in the affected limbs.
  • These symptoms were the initial presentation leading to hospital admission.

Findings:

  • The case demonstrates that arterial clots can manifest as the primary presenting symptom in COVID-19.
  • The patient's presentation underscores the potential for severe vascular complications in the context of SARS-CoV-2 infection.
  • Delayed diagnosis of these arterial clots can lead to critical outcomes.

Implications:

  • Early recognition of arterial thrombosis is vital for managing COVID-19 patients.
  • Vigilance for thrombotic events should be heightened in patients presenting with symptoms suggestive of COVID-19.
  • This case emphasizes the need for timely diagnostic and therapeutic interventions for arterial clots in COVID-19 to prevent fatal complications.

Keywords:
arterial clotarterial thrombosiscoagulopathycoronavirus disease of 2019 (covid-19)left ventricle thrombusvenous clot

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