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Acute Liver Infarct with a Superimposed Liver Abscess as a Consequence of Hypercoagulable State in a Patient with
Patricia Jenny Rivera-Cariño1, Pedro Rosa-Cortés2, Liliana Llopart-Herrera1
1Department of Internal Medicine, VA Caribbean Healthcare System, San Juan, PR.
Insights
COVID-19 can cause blood clots, even without respiratory symptoms. Early anticoagulation and antibiotics improved a patient with liver thrombosis and abscess, highlighting the need for physician awareness.
Area of Science:
- Internal Medicine
- Hepatology
- Infectious Diseases
Background:
- COVID-19 infection is linked to a hypercoagulable state, especially in severe cases.
- This hypercoagulability can lead to serious vascular complications.
- Awareness is crucial, even in patients without respiratory symptoms.
Abstract:
COVID-19 infection has been associated, particularly in severely ill patients requiring hospitalization, with a hypercoagulable state. The case presented herein was a 66-year-old man with SARS-CoV-2 infection who did not have any respiratory symptoms. He presented with the following clinical manifestations: portal vein and hepatic artery thrombosis, liver infarction, and a superimposed abscess of the liver. In this case, early detection and the administration of anticoagulants and antibiotics led to a significant improvement within weeks of the diagnosis. We encourage physicians to be aware of COVID-19-associated hypercoagulable state and its potential complications, regardless of the acuity of the presentation or the absence of respiratory symptoms.
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