Illustration: Thromboelastography - A useful tool to monitor COVID-19-associated coagulopathy

Ashwinkumar Vaidya1, Bemma Paonam1, Ganesh Mohan1

  • 1Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Insights

This case study shows that a COVID-19 patient with hypercoagulability, diagnosed via TEG, improved with Enoxaparin treatment. Follow-up TEG normalized, and the patient was discharged without thrombotic issues.

Area of Science:

  • Internal Medicine
  • Hematology
  • Infectious Diseases

Background:

  • COVID-19, caused by SARS-CoV-2, presents with diverse clinical manifestations.
  • Systemic hypercoagulation is a recognized characteristic of COVID-19.
  • Hypercoagulability increases the risk of thrombotic complications in COVID-19 patients.

Purpose of the Study:

  • To report a case of COVID-19 with diagnosed hypercoagulability.
  • To evaluate the efficacy of Enoxaparin in managing hypercoagulability in a COVID-19 patient.
  • To assess the utility of TEG in monitoring coagulation status during COVID-19 treatment.

Main Methods:

  • A COVID-19 patient underwent TEG on admission.
  • Hypercoagulability was identified through TEG analysis.
  • The patient was treated with Enoxaparin sodium (6000 IU twice daily).
  • TEG was repeated after 5 days of treatment.

Main Results:

  • Initial TEG revealed hypercoagulability.
  • Enoxaparin treatment led to normalization of coagulation status within 5 days.
  • The patient experienced no thrombotic complications during hospitalization.

Conclusions:

  • TEG is a valuable tool for diagnosing hypercoagulability in COVID-19.
  • Enoxaparin effectively managed hypercoagulability in this COVID-19 case.
  • Prompt diagnosis and treatment of hypercoagulability can prevent thrombotic events in COVID-19.

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