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Hafif COVID-19 Sonrası Gecikmiş Pulmoner Emboli: Olgu Sunumu
2022
Journal:  
Respiratory Case Reports
Author:  
Abstract:

Yeni koronavirüs hastalığı (COVID-19) derin ven trombozu (DVT) ve pulmoner emboli (PE) sıklığında artış ile ilişkilendirilen koagülopati ile dikkat çekmiştir. Bu olgu sunumunda hafif COVID-19 sonrası saptanan bilateral yaygın PE olgusu tartışılmıştır. Elli yedi yaşında, eforla artan nefes darlığı şikayetiyle polikliniğimize başvurdu. Dokuz yıl önce PE geçirmiş, genetik bir risk faktörü saptanmamıştı. Dört buçuk ay önce COVID-19 tanısı konulmuş, hafif semptomlar ile düzelmişti. Daha sonra dört kez efor dispnesi nedeniyle polikliniğimize başvurmuş, diğer nedenler dışlanmış, yüksek d-dimer düzeyleri nedeniyle çekilen iki toraks bilgisayarlı tomografi anjiyografi (BTA) ve perfüzyon sintigrafisinde emboli saptanmamıştı. Uzun süre devam edilen PE profilaktik tedavisi 33 gün önce kesilmişti. D-dimer düzeyinde artış nedeniyle yeniden BTA çekilen hastada bilateral ana pulmoner arterlerde trombüs saptandı. Sonuç olarak, hafif COVID-19 hastalığı geçiren hastalarda dahi, devam eden semptomlar, yüksek D-dimer düzeyleri ve daha önceki PE öyküsü; daha uzun süren COVID-19 koagülopatisi için uyarıcı olabilir.

Keywords:

Light COVID-19 After Delayed Pulmonary Embolism: Facts Presentation
2022
Author:  
Abstract:

The new coronavirus disease (COVID-19) has been observed with coagulopathy associated with an increase in the frequency of deep venous thrombosis (DVT) and lung embolism (PE). The presentation of this phenomenon discussed the bilateral common PE phenomenon found after light COVID-19. At the age of fifty and seven, he applied to our clinic with an increasing breathing difficulty. A genetic risk factor was not identified. Four and a half months ago, COVID-19 was diagnosed with mild symptoms. Then four times for an effort was addressed to our clinic due to dyspnoe, other reasons were excluded, due to the high levels of d-dimer, the two thorax computer tomography angiography (BTA) and perfusion syntigraphs were not emboliated. The long-lasting PE preventive treatment was interrupted 33 days ago. In the patient with a re-tracking BTA due to an increase in D-dimer levels, a trombus was detected in the bilateral main pulmonary arteries. As a result, even in patients with mild COVID-19 disease, continued symptoms, high D-dimer levels and previous PE history may be a trigger for longer COVID-19 coagulopathy.

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2022
Author:  
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Respiratory Case Reports

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 120
Respiratory Case Reports