COVID-19 and Venous Thromboembolic Disease Clinical Case |Biomedgrid

Patients hospitalized with COVID-19, have an increased risk of Venous Thromboembolism (VTE), especially those admitted to Intensive Care Units (ICU), due to an excessive inflammatory reaction, hypoxia, prolonged immobilization, and diffuse intravascular coagulation. Therefore, having reliable data about the incidence of thromboembolic complications in these patients is of major importance [1]. We are present a clinical case of 48-year-old male who presented sudden pain in the left pelvic limb, associated edema and changes in color and temperature. He reported dyspnea mMRC2 that progressed to mMRC4, as well as dry cough and pleuritic pain in the left hemithorax. At physical examination BMI 25.7 Kg/m2, BP: 110/70mmHg, SpO2: 87% at room air. Chest with decreased breath sounds in the left infra-scapular region, bilateral crackles in infra-scapular region. Tachycardic and Rhythmic heart, Lower extremities asymmetric, left leg hypertrophic, with hard edema, without fovea, grade III, with hyperemia, erythema and pain on palpation, capillary refill 4 seconds; pulses were present; a positive Homans and Olowe signs were found.