Subacute Limb Ischemia Suspected from COVID-19-Related Arterial Thrombosis Presenting with Local Occlusion Site Tenderness.
Kenshiroh KawabeMasamitsu SuharaRyosuke TaniguchiYasuaki MochizukiToshio TakayamaKatsuyuki HoshinaPublished in: Annals of vascular diseases (2024)
A 59-year-old man was admitted to our hospital with severe popliteal fossa pain and mild left calf claudication. He had had an episode of pyrexia and dyspnea approximately 3 weeks prior. Contrast-enhanced computed tomography revealed acute occlusion of the left popliteal artery and multiple infiltration shadows with bilateral multifocal parenchymal consolidation of the lungs, suggesting post-coronavirus disease 2019 (COVID-19) pneumonia. As he had no comorbid risk of cardiogenic embolism or atherosclerosis, we diagnosed him with COVID-19-related arterial thrombosis. COVID-19-related arterial thrombosis should be considered a possible cause of acute limb ischemia, even when ischemic symptoms occur several weeks post infection.
Keyphrases
- coronavirus disease
- computed tomography
- sars cov
- contrast enhanced
- pulmonary embolism
- magnetic resonance imaging
- drug induced
- respiratory syndrome coronavirus
- liver failure
- respiratory failure
- magnetic resonance
- diffusion weighted
- cardiovascular disease
- positron emission tomography
- early onset
- diffusion weighted imaging
- type diabetes
- ischemia reperfusion injury
- blood brain barrier
- neuropathic pain
- mechanical ventilation
- brain injury
- hepatitis b virus
- acute care
- endovascular treatment