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Acute Limb Ischemia Following a Mild Case of COVID-19
Polina Gaisinskaya1, Taylor A VanHelmond1, Katherine Reano1
1Internal Medicine, Florida Atlantic University, Florida, USA.
Insights
Coronavirus disease 2019 (COVID-19) can cause vascular thrombosis, leading to serious complications like acute limb ischemia. This case highlights a rare presentation in an asymptomatic patient, emphasizing the need for vigilance regarding COVID-19-related vascular risks.
Area of Science:
- Vascular Medicine
- Infectious Diseases
- Cardiology
Background:
- Coronavirus disease 2019 (COVID-19) is primarily known for respiratory symptoms.
- However, COVID-19 is increasingly recognized for causing vascular thrombosis, a significant post-infection complication.
- The virus is hypothesized to induce endothelial damage, promoting a hypercoagulable state.
Abstract:
Coronavirus disease 2019 (COVID-19) was a novel virus that originated in China in November 2019 and is most known for its respiratory compromise; however, many patients have experienced vascular thrombosis as sequelae of COVID-19. It is thought that the virus causes endothelial cell damage and increased platelet and leukocyte adhesion, causing a hypercoagulable state. While the most common presentation of hypercoagulability associated with COVID-19 is venous thrombosis, there are reports of patients who present with acute limb ischemia. We present a case of acute leg ischemia in an otherwise asymptomatic patient with no atherosclerotic risk factors.
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