Pulmonary Thromboembolism and Infarction Mimicking COVID-19 Symptoms; Report of three Cases
Archives of Academic Emergency Medicine,
Vol. 8 No. 1 (2020),
1 January 2020
,
Page e88
https://doi.org/10.22037/aaem.v8i1.990
Abstract
Since the novel coronavirus emerged in late December, 2019 in Wuhan, China, millions of people have been infected and thousands of patients have died. Fever and dyspnea are the most common symptoms of infection with SARS-CoV-2. However, these symptoms are neither specific nor diagnostic for COVID-19. Symptom overlap between COVID-19 and some other conditions may lead other diseases to be missed and underdiagnosed. Just like COVID-19, pulmonary thromboembolism (PTE) and pulmonary infarction may present with fever and respiratory symptoms. Since COVID-19 emerged and spread worldwide, many clinicians are focused on diagnosis and treatment of this novel viral infection. Hence, other diseases presenting with the same symptoms as COVID-19 may remain underdiagnosed. Here, we report three cases of PTE and pulmonary infarction presenting with fever and respiratory symptoms mimicking COVID-19.
- Pulmonary embolism; pulmonary infarction; COVID-19; venous thrombosis; signs and symptoms, respiratory
How to Cite
References
Zuckier LS, Moadel RM, Haramati LB, Freeman LM. Diagnostic evaluation of pulmonary embolism during the COVID-19 pandemic. Journal of Nuclear Medicine. 2020;61(5):630-1.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020;395(10223):497-506.
Stone J, Hangge P, Albadawi H, Wallace A, Shamoun F, Knuttien MG, et al. Deep vein thrombosis: pathogenesis, diagnosis, and medical management. Cardiovascular diagnosis and therapy. 2017;7(Suppl 3):S276.
Poggiali E, Bastoni D, Ioannilli E, Vercelli A, Magnacavallo A. Deep vein thrombosis and pulmonary embolism: two complications of COVID-19 pneumonia? European Journal of Case Reports in Internal Medicine. 2020;7(5).
Mak S, Mak D, Hodson D, Preston R, Retter A, Camporota L, et al. Pulmonary infarction without pulmonary arterial thrombus in COVID-19 patients receiving extracorporeal membrane oxygenation: a case series. Clinical radiology. 2020.
Pishgahi M, Aval ZA, Hajimoradi B, Bozorgmehr R, Safari S, Yousefifard M. Massive Pulmonary Thromboembolism in Patients with COVID-19; Report of Three Cases. Archives of Academic Emergency Medicine. 2020;8(1):58.
Demelo-Rodríguez P, Cervilla-Muñoz E, Ordieres-Ortega L, Parra-Virto A, Toledano-Macías M, Toledo-Samaniego N, et al. Incidence of asymptomatic deep vein thrombosis in patients with COVID-19 pneumonia and elevated D-dimer levels. Thrombosis Research. 2020.
Bozorgmehr R, Pishgahi M, Mohaghegh P, Bayat M, Khodadadi P, Ghafori A. Relationship between thrombosis risk factors, clinical symptoms, and laboratory findings with pulmonary embolism diagnosis; a cross-sectional study. Archives of academic emergency medicine. 2019;7(1).
Leonard-Lorant I, Delabranche X, Severac F, Helms J, Pauzet C, Collange O, et al. Acute pulmonary embolism in COVID-19 patients on CT angiography and relationship to D-dimer levels. Radiology. 2020:201561.
Chengsupanimit T, Sundaram B, Lau WB, Keith SW, Kane GC. Clinical characteristics of patients with pulmonary infarction–A retrospective review. Respiratory medicine. 2018;139:13-8.
Miniati M, editor Pulmonary infarction: an often unrecognized clinical entity. Seminars in thrombosis and hemostasis; 2016: Thieme Medical Publishers.
Fosmire ST, Gibson GN, Copeland JC, Maydew MS, Eggers C. Pulmonary infarction: Right upper quadrant pain as a presenting symptom with review of typical computed tomography imaging features. Military medicine. 2018;183(11-12):e779-e82.
Kanne JP. Chest CT findings in 2019 novel coronavirus (2019-nCoV) infections from Wuhan, China: key points for the radiologist. Radiological Society of North America; 2020.
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