著者
Yunlu Liu Peng Chen Muradil Mutar Man Hung Zengwu Shao Yanjiu Han Wei Tong Yong Liu
出版者
Japan Atherosclerosis Society
雑誌
Journal of Atherosclerosis and Thrombosis (ISSN:13403478)
巻号頁・発行日
pp.57950, (Released:2020-08-29)
参考文献数
14

Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is an acute infectious disease that spreads mainly via the respiratory route. Elderly patients or those with underlying diseases are more seriously affected. We report a case of COVID-19 infection in a geriatric patient with arteriovenous thrombosis of the right lower limb. Despite persistent anticoagulant therapy, the patient's arterial thrombosis continued to progress and presented with ischemic necrosis of the lower extremity. After amputation in this case, the levels of D-dimer and inflammatory cytokine increased progressively, and he presented with acute myocardial infarction, which progressed rapidly to multisystem organ failure. However, whether coronavirus can directly cause the damage of the cardiovascular system and thrombosis needs further investigation.

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下肢の虚血性壊死に陥った、70歳男性の新型コロナウイルス感染症症例報告(画像がエグイので閲覧注意)。 低分子ヘパリンが使用されたが改善せず右下肢切断に至り、術後に心筋梗塞を発症し(低分子ヘパリン投与中)、救命出来なかった症例。 https://t.co/poY7oGhqBW

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