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Elisabeth Bright1, Michael Brix1, Martin Lindberg-Larsen1

  • 1Ortopædkirurgisk Afdeling, Odense Universitetshospital.

Ugeskrift for Laeger
|February 10, 2023
PubMed
Summary
This summary is machine-generated.

A 75-year-old unvaccinated patient developed severe limb ischemia due to COVID-19, requiring amputation. This case highlights the critical risk of thromboembolic complications in unvaccinated individuals.

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Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • COVID-19 continues to pose a global health threat, with potential for severe complications.
  • Unvaccinated individuals remain at higher risk for adverse outcomes.
  • Thromboembolic events are a known, serious complication associated with COVID-19.

Observation:

  • A 75-year-old unvaccinated female presented with hypoxemia and was admitted to the ICU.
  • Within four days, she developed cyanosis in her left hand and elevated fibrin D-dimer levels.
  • Angiography revealed occlusion of the arteria radialis at the bifurcation.

Findings:

  • Standard thrombolysis was ineffective in treating the arterial occlusion.
  • The patient underwent amputation of her left arm above the elbow due to irreversible ischemia.

Related Experiment Videos

  • The clinical presentation suggests a severe COVID-19-related thromboembolic event.

    • Implications:

    • This case underscores the importance of vigilance for thromboembolic complications in unvaccinated COVID-19 patients.
    • Early recognition and management of vascular complications are crucial to prevent limb loss.
    • Vaccination remains a key strategy in mitigating severe COVID-19 disease and its associated risks.