1. Pulmonary embolism in an adolescent with COVID-19 pneumonia.
- Author
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Nuñez-Paucar H, Coll-Vela LE, Peña-Coello C, Guillen-Buleje D, Atamari-Anahui N, Gomez-Martinez L, Huby-Muñoz CL, Zamudio-Aquise MK, and Bernal-Mancilla RR
- Subjects
- Child, Male, Adult, Humans, Adolescent, SARS-CoV-2, Lung diagnostic imaging, Pulmonary Artery, COVID-19 complications, Pulmonary Embolism diagnosis, Pulmonary Embolism drug therapy, Pulmonary Embolism etiology, Thrombosis
- Abstract
Background: Pulmonary embolism (PE) is a complication reported in the adult population with coronavirus disease 2019 (COVID-19); however, its documentation in the pediatric population is limiteda., Case Report: We report the case of a 15-year-old male with obesity and Down syndrome who was admitted for severe COVID-19 pneumonia. On day 7 of admission, he presented with chest pain, hemoptysis, respiratory distress, and marked elevation of D-dimer. Pulmonary CT angiography found an extensive thrombus in the right lower lobar artery. He received treatment with enoxaparin and rivaroxaban and had a favorable clinical outcome. In the tomographic control 1 month after treatment, thrombus was not evidenced and was successfully resolved., Conclusions: There are few reports of PE in children with COVID-19. Prompt diagnosis and early anticoagulant treatment are important to avoid life-threatening complications., (Copyright: © 2023 Permanyer.)
- Published
- 2023
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