scholarly journals Deep vein thrombosis as sole presentation of COVID-19 infection

Author(s):  
Abbas Fadhel Hlaihel ◽  

As is the case for so many aspects of COVID-19 pandemic, information on clinical complications caused by this virus continues to emerge and evolve in real time. The majority of patients who have tested positive for COVID-19 present with symptoms of an acute respiratory illness including fever, body aches, lethargy, dry cough and breathing difficulties. However, it appears that the novel coronavirus may impact more than just the lungs, especially in severe cases.

1993 ◽  
Vol 329 (19) ◽  
pp. 1365-1369 ◽  
Author(s):  
Harriet Heijboer ◽  
Harry R. Buller ◽  
Anthonie Lensing ◽  
Alexander Turpie ◽  
Louisa P. Colly ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mohammad Pourfridoni ◽  
Seyede Mahsa Abbasnia ◽  
Fateme Shafaei ◽  
Javad Razaviyan ◽  
Reza Heidari-Soureshjani

The novel coronavirus disease 2019 (COVID-19) is the cause of an acute respiratory illness which has spread around the world. The virus infects the host by binding to the angiotensin-converting enzyme 2 (ACE2) receptors. Due to the presence of ACE2 receptors in the kidneys and gastrointestinal (GI) tract, kidneys and GI tract damage arising from the virus can be seen in patients and can cause acute conditions such as acute kidney injury (AKI) and digestive problems for the patient. One of the complications of kidneys and GI involvement in COVID-19 is fluid and electrolyte disturbances. The most common ones of these disorders are hyponatremia, hypernatremia, hypokalemia, hypocalcemia, hypochloremia, hypervolemia, and hypovolemia, which if left untreated, cause many problems for patients and even increase mortality. Fluid and electrolyte disturbances are more common in hospitalized and intensive care patients. Children are also at greater risk for fluid and electrolyte disturbances complications. Therefore, clinicians should pay special attention to the fluid and electrolyte status of patients. Changes in fluid and electrolyte levels can be a good indicator of disease progression.


1989 ◽  
Vol 61 (03) ◽  
pp. 363-365 ◽  
Author(s):  
Lars C Borris ◽  
Hanne M Christiansen ◽  
Michael R Lassen ◽  
Agnete D Olsen ◽  
Peder Schøtt ◽  
...  

SummaryA prospective study compared real-time B-mode ultrasound examination with bilateral ascending phlebography in the diagnosis of postoperative deep vein thrombosis in 60 patients undergoing elective total hip replacement. The overall sensitivity and specificity of the ultrasound method were 54 and 91%, respectively, and the positive and negative predictive values were 83 and 69%, respectively. The rather low overall sensitivity of the ultrasound method in this study was due to difficulty in detecting thrombi smaller than 1 cm wherever they were located in the deep veins, and in diagnosing thrombi in the calf, regardless of their size. We conclude that real-time B-mode ultrasonography is a technique that can easily be used routinely for detection of postoperative DVT in hip surgery, but its sensitivity for proximal thrombosis (63%) is too low for it to be used alone.


1992 ◽  
Vol 68 (03) ◽  
pp. 257-260 ◽  
Author(s):  
Giancarlo Agnelli ◽  
Raul Volpato ◽  
Stefano Radicchia ◽  
Franca Veschi ◽  
Paolo Di Filippo ◽  
...  

SummaryThe aim of this study was to prospectively evaluate the accuracy of real-time B-mode ultrasonography in the diagnosis of asymptomatic proximal deep vein thrombosis (DVT) in hip surgery patients. Venography was adopted as the gold standard. We studied 100 consecutive patients undergoing hip surgery: 60 patients for hip fracture and 40 patients for elective hip replacement. Bilateral real-time B-mode ultrasonography was performed prior to bilateral venography. The two diagnostic procedures were performed on the same day by different investigators unaware of the assigned prophylatic regimen for DVT Compressibility of the vein segment was adopted as the single criterion for DVT. Venography was performed and judged by radiologists unaware of the ultrasonography results. In 13 limbs venography was either impossible to perform or not adequate for judgement. Ultrasonography and an adequate venography was obtained in 187 limbs. A venography proven DVT was observed in 49 limbs (26.2%) and a proximal DVT in 21 limbs (11.2%). All the patients were asymptomatic for DVT. The sensitivity and specificity of real time B-mode ultrasonography for proximal DVT were 57% (95% confidence interval: C. I. 36–80) and 99% (C. I. 99–100), respectively and the positive and negative predictive values were 93% (C.I. 73–100) and 95% (C.I. 91–97), respectively. The sensitivity and specificity for overall DVT were 25% (C.I. 11–38) and 99% (C.I. 97–100), respectively and the positive and negative predictive values were 92% (C. I. 73–100) and 79% (C.I. 76–85), respectively. Our data indicate that realtime B-mode ultrasonography for its high specificity could make venography unnecessary in patients with positive results. However, because of its low sensitivity it cannot be used for the screening of DVT in asymptomatic patients, nor can it replace venography for outcome measurements in clinical trials on DVT prophylaxis.


2021 ◽  
Vol 23 (3) ◽  
pp. 292-295
Author(s):  
Galina M. Kuklina ◽  
◽  
Natalia N. Makar'iants ◽  

This article presents an unusual case of a mild novel coronavirus infection COVID-19 in a patient with multiple comorbidity, including hairy cell leukemia, chronic generalized tuberculosis deep vein thrombosis in the legs which manifested with mild symptoms of general intoxication only.


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