Concomitant renal and splenic infarction as a complication of covid-19: A case report and literature review

Maya Ramanathan, Teresa A. Chueng, Edgar Fernandez, Jose Gonzales-Zamora

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

The prothrombotic state contributes to diverse and dev-astating prognoses of severe COVID-19. We describe a unique COVID-19 case with concomitant splenic and renal infarcts. Based on this, clinicians should have a low threshold to suspect a diagnosis of deep vein thrombosis/pulmonary embolism (DVT/PE), especial-ly in the abdominal visceral region if a patient comes in several days after a COVID-19 diagnosis with abdominal pain. Whether or not empiric full dose anticoagula-tion is needed in patients without definite diagnosis of thromboembolism is still controversial. Further studies need to be done; meanwhile, we advocate the use of regular dose thromboprophylaxis in all hospitalized patients and therapeutic anticoagulation only when there is a confirmed diagnosis of thromboembolism.

Original languageEnglish (US)
Pages (from-to)611-615
Number of pages5
JournalInfezioni in Medicina
Volume28
Issue number4
StatePublished - 2020

Keywords

  • Anticoagulation
  • COV-ID-19
  • Renal thrombosis
  • Splenic thrombosis

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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