COVID-19 patient with elevated D-dimer. Is anticoagulation the answer? A case report

Context: We are progressively learning about COVID-19 every day. An aspect that we would like to highlight and that is becoming increasingly clear is that patients develop a hypercoagulable state that causes microthrombi and becomes life threatening. We are considering starting the use of early anticoagulation in these cohort of patients who become critically ill to halt and prevent progression of the disease. Case report: We present a case report of a SARS-CoV-2 infected patient admitted in a hospital in Vila-real, Spain. We present the characteristics and evolution of laboratory parameters of our patient during the admission in our hospital. The patient needed intubation and was transferred to the Intensive Care Unit (ICU) where the patient continues evolution. Conclusions: Probably these patients must be anticoagulated earlier and for a longer duration along the duration of the disease.