Article: Pulmonary Embolism in COVID-19 Pneumonia: An Overlapping Diagnosis or a Misdiagnosis?
Journal of cardiovascular echography
2020 Volume 30, Issue 2, Page(s) 110–112
Abstract: Coronavirus pneumonia (COVID-19) is a novel infectious disease with a high mortality rate due to severe acute respiratory syndrome. A 57-year-old woman was admitted to the emergency department (ED) with fever, cough, atypical chest pain, and dyspnea. She ...
| Abstract | Coronavirus pneumonia (COVID-19) is a novel infectious disease with a high mortality rate due to severe acute respiratory syndrome. A 57-year-old woman was admitted to the emergency department (ED) with fever, cough, atypical chest pain, and dyspnea. She remained in the ED for about 48 h while waiting for the result of the COVID-19 oropharyngeal swab. Once she tested positive, she was hospitalized in the pneumological department with a diagnosis of pneumonia based on a chest X-ray and biochemical tests. Although azithromycin and hydroxychloroquine were promptly administered, she had a worsening of dyspnea even with a high-flow oxygen mask. D-dimer was increased, and a computed tomography scan with pulmonary and leg angiogram was positive for bilateral pulmonary embolism, deep-venous thrombosis, and multiple consolidated opacities in the lung parenchyma. This case highlights the fact that, in a pandemic situation, there is a potentially fatal risk of overlooking an alternative diagnosis in a COVID-19 patient who is generally considered as suffering only from pneumonia. |
|---|---|
| Language | English |
| Publishing date | 2020-08-17 |
| Publishing country | India |
| Document type | Case Reports |
| ZDB-ID | 2734045-4 |
| ISSN | 2347-193X ; 2211-4122 |
| ISSN (online) | 2347-193X |
| ISSN | 2211-4122 |
| DOI | 10.4103/jcecho.jcecho_43_20 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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