Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease

Coronavirus 2019 disease (COVID-19) is a viral illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It emerged in Wuhan, China, in December 2019 and has caused a widespread global pandemic. The symptoms of COVID-19 can vary from mild upper respiratory symptoms to severe pn...

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Main Authors: Osama Qasim Agha, Ryan Berryman
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2020/8880143
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author Osama Qasim Agha
Ryan Berryman
author_facet Osama Qasim Agha
Ryan Berryman
author_sort Osama Qasim Agha
collection DOAJ
description Coronavirus 2019 disease (COVID-19) is a viral illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It emerged in Wuhan, China, in December 2019 and has caused a widespread global pandemic. The symptoms of COVID-19 can vary from mild upper respiratory symptoms to severe pneumonia with hypoxemic respiratory failure. Multiple studies and reports have reported a hypercoagulable state associated with this disease, and various recommendations have emerged to guide the use of anticoagulants for prophylaxis. We are reporting a case of symptomatic acute splenic thrombosis causing splenic infarction in a patient suffering from a severe case of COVID-19 and despite the use of an intermediate dose of low-molecular-weight heparin (LMWH). The patient was treated with full-dose anticoagulation and was eventually discharged home on a direct oral anticoagulant.
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series Case Reports in Critical Care
spelling doaj-art-c44896d35c75470894b798d0fc9386612025-02-03T01:01:27ZengWileyCase Reports in Critical Care2090-64202090-64392020-01-01202010.1155/2020/88801438880143Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 DiseaseOsama Qasim Agha0Ryan Berryman1Department of Internal Medicine, Creighton University School of Medicine, Phoenix, Arizona, USADepartment of Internal Medicine, Creighton University School of Medicine, Phoenix, Arizona, USACoronavirus 2019 disease (COVID-19) is a viral illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It emerged in Wuhan, China, in December 2019 and has caused a widespread global pandemic. The symptoms of COVID-19 can vary from mild upper respiratory symptoms to severe pneumonia with hypoxemic respiratory failure. Multiple studies and reports have reported a hypercoagulable state associated with this disease, and various recommendations have emerged to guide the use of anticoagulants for prophylaxis. We are reporting a case of symptomatic acute splenic thrombosis causing splenic infarction in a patient suffering from a severe case of COVID-19 and despite the use of an intermediate dose of low-molecular-weight heparin (LMWH). The patient was treated with full-dose anticoagulation and was eventually discharged home on a direct oral anticoagulant.http://dx.doi.org/10.1155/2020/8880143
spellingShingle Osama Qasim Agha
Ryan Berryman
Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease
Case Reports in Critical Care
title Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease
title_full Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease
title_fullStr Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease
title_full_unstemmed Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease
title_short Acute Splenic Artery Thrombosis and Infarction Associated with COVID-19 Disease
title_sort acute splenic artery thrombosis and infarction associated with covid 19 disease
url http://dx.doi.org/10.1155/2020/8880143
work_keys_str_mv AT osamaqasimagha acutesplenicarterythrombosisandinfarctionassociatedwithcovid19disease
AT ryanberryman acutesplenicarterythrombosisandinfarctionassociatedwithcovid19disease