Article ; Online: D-dimer and C-reactive Protein Blood Levels Over Time Used to Predict Pulmonary Embolism in Two COVID-19 Patients.
European journal of case reports in internal medicine
2020 Volume 7, Issue 6, Page(s) 1725
Abstract: The diagnosis of pulmonary embolism is challenging in symptomatic COVID-19 patients since shortness of breath, chest pain, tachycardia, tachypnoea, fever, oxygen desaturation and high D-dimer blood levels might be features of both diseases. We present ... ...
| Abstract | The diagnosis of pulmonary embolism is challenging in symptomatic COVID-19 patients since shortness of breath, chest pain, tachycardia, tachypnoea, fever, oxygen desaturation and high D-dimer blood levels might be features of both diseases. We present two COVID-19 patients in whom pulmonary embolism was suspected (and diagnosed) due to a discrepancy between an increase in D-dimer blood levels and a decrease in C-reactive protein blood levels over time. We believe that an opposite change in the blood levels of both biomarkers over time may be used as a novel method to predict pulmonary embolism in COVID-19 patients. Learning points: The diagnosis of pulmonary embolism is challenging in COVID-19 patients since symptoms, signs and high D-dimer blood levels might be similar in both diseases.An increase in D-dimer blood levels and a decrease in C-reactive protein blood levels over time may be used as a novel method to predict pulmonary embolism in COVID-19 patients. |
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| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-05-20 |
| Publishing country | Italy |
| Document type | Journal Article |
| ISSN | 2284-2594 |
| ISSN (online) | 2284-2594 |
| DOI | 10.12890/2020_001725 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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