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A case of COVID-19 induced descending aortic thrombus and splenic infarctions
Malayala, Srikrishna V. ; Bukhari, Syed ; Vanaparthy, Rachana ; Raza, Ambreen ; Akella, Ramya
Malayala, Srikrishna V.
Bukhari, Syed
Vanaparthy, Rachana
Raza, Ambreen
Akella, Ramya
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2022-09-09
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http://dx.doi.org/10.55729/2000-9666.1100
Abstract
Thromboembolic manifestations like pulmonary embolism and deep venous thrombosis are often reported and contribute to a significant mortality from acute and chronic COVID-19 infections. These phenomena are a result of the activation of the coagulation cascade by the COVID-19 induced inflammatory state. Majority of the thrombotic incidences are reported as a venous thrombosis but extremely rarely, arterial thrombi can be a manifestation of acute COVID-19 infection. The patient in our case report was an unvaccinated 47-year-old female who presented with fever, nausea, abdominal pain and vomiting. The imaging confirmed the presence of a non-occlusive thrombus in the descending aorta, multiple splenic infarctions and paralytic ileus. She was treated with systemic anti-coagulation. A hyper-coagulable workup was performed on the patient and no other risk factors that could contribute to a thrombus was identified.
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Citation
Malayala, Srikrishna V; Bukhari, Syed; Vanaparthy, Rachana; Raza, Ambreen; and Akella, Ramya (2022) "A case of COVID-19 induced descending aortic thrombus and splenic infarctions," Journal of Community Hospital Internal Medicine Perspectives: Vol. 12: Iss. 5, Article 17.
DOI: 10.55729/2000-9666.1100
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Greater Baltimore Medical Center
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Journal of Community Hospital Internal Medicine Perspectives (JCHIMP), Vol. 12, Iss. 5
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