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COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
Casey Kyla.
Iteen Alexander.
Nicolini Reese.
Auten Jonathan.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1016/j.ajem.2020.04.011
Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections.
The American Journal of Emergency Medicine
2020
Artículo
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141630/pdf/main.pdf
Inglés
VIRUS RESPIRATORIOS
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