Pulmonary embolism in COVID-19 positive patient

Case contributed by István Kui
Diagnosis certain

Presentation

Two weeks of fever, one week of breathing difficulties.

Patient Data

Age: 80 years
Gender: Male

Bilateral large areas of ground-glass opacities and mild pleural effusion. 

Left-sided lower lobe segmental and subsegmental pulmonary arterial filling defect.

Case Discussion

The patient was tested positive for COVID-19 and was transferred to the intensive care unit. Many COVID-19 infected patients have coagulation marker abnormalities. Some studies present the possibility of underdiagnosing pulmonary embolism because of the overlapping symptoms. We have to check the d-dimer levels, and if elevated to suspect pulmonary embolism. These patients have a poorer prognosis.

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