Unusual presentation of COVID-19 in a child complicated by massive acute pulmonary embolism and lung infarction

  • Tahani Bin Ali Department of Pediatrics, Division of Pediatric Hematology/Oncology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Ghaleb Elyamany | ghalebelyamany@gmail.com Department of Central Military Laboratory and Blood Bank, Division of Hematopathology and Blood Bank, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Maha Nojoom Department of Radiology, Division of Pediatric Radiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Mohamed Alfaki Department of Pediatrics, Division of General Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Hassan Alahmari Department of Pediatrics, Division of General Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Abdulwahab Alharthi Department of Pediatrics, Division of Pediatric Hematology/Oncology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Muwaffak Hijazi Department of Pediatrics, Division of General Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Atif Alsahari Department of Pediatrics, Division of Pediatric Cardiology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Fahad Alabbas Department of Pediatrics, Division of Pediatric Hematology/Oncology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • Abdulnasir Al-Otaibi Department of Pediatrics, Division of Infectious Diseases, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Abstract

The Novel Coronavirus 2019 (SARSCoV- 2), which was first reported on in Wuhan, China, in late December 2019, causes a respiratory illness called COVID- 19 Disease. COVID-19 is most likely causing a hypercoagulable state, however the prevalence of acute venothromboembolism is still unknown. Limited data suggest pulmonary microvascular thrombosis may play a role in progressive respiratory failure. Here, we report a case of a child with an unusual presentation of COVID-19 presented initially by dry cough without fever and complicated by massive acute pulmonary embolism and lung infarction and treated successfully by hydroxychloroquine and azithromycin, in addition to anticoagulant therapy.

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References

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Published
2021-03-12
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Issue
Section
Case Reports
Keywords:
COVID-19, acute venothromboembolism, antiphospholipid antibodies, lung infarction
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How to Cite
Bin Ali , T., Elyamany, G., Nojoom, M., Alfaki , M., Alahmari, H., Alharthi , A., Hijazi , M., Alsahari, A., Alabbas, F., & Al-Otaibi , A. (2021). Unusual presentation of COVID-19 in a child complicated by massive acute pulmonary embolism and lung infarction. Hematology Reports, 13(1). https://doi.org/10.4081/hr.2021.8874