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Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization
Published on: June 4, 2020
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.
Abstract:
COVID 19 is caused by Severe Acute Respiratory Syndrome Corona Virus-2 which results in wide range of manifestations. Systemic hypercoagulation is a typical feature of COVID-19. We present a case of COVID-19 in whom TEG was performed on admission and hypercoagulability was diagnosed and hence patient was started on Enoxaparin sodium 6000 IU twice daily. TEG was repeated after 5 days which showed normal coagulation status and the patient was discharged without any thrombotic complications.
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