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Case Report

Unusual Presentation of COVID-19 in a Child Complicated by Massive Acute Pulmonary Embolism and Lung Infarction

1
Department of Pediatrics, Division of Pediatric Hematology/Oncology, Riyadh 12233, Saudi Arabia
2
Department of Central Military Laboratory and Blood Bank, Division of Hematopathology and Blood Bank, Prince Sultan Military Medical City, Sulimaniyah RD, Riyadh 12233, Saudi Arabia
3
Department of Radiology, Division of Pediatric Radiology, Riyadh 12233, Saudi Arabia
4
Department of Pediatrics, Division of General Pediatrics, Riyadh 12233, Saudi Arabia
5
Department of Pediatrics, Division of Pediatric Cardiology, Riyadh 12233, Saudi Arabia
6
Department of Pediatrics, Division of Infectious Diseases, Prince Sultan Military Medical City, Riyadh 12233, Saudi Arabia
*
Author to whom correspondence should be addressed.
Hematol. Rep. 2021, 13(1), 8874; https://doi.org/10.4081/hr.2021.8874
Submission received: 28 August 2020 / Revised: 5 January 2021 / Accepted: 1 February 2021 / Published: 12 March 2021

Abstract

The Novel Coronavirus 2019 (SARSCoV-2), which was first reported on in Wuhan, China, in late December 2019, causes a respiratory illness called COVID-19 Disease. COVID-19 is most likely causing a hypercoagulable state, however the prevalence of acute venothromboembolism is still unknown. Limited data suggest pulmonary microvascular thrombosis may play a role in progressive respiratory failure. Here, we report a case of a child with an unusual presentation of COVID-19 presented initially by dry cough without fever and complicated by massive acute pulmonary embolism and lung infarction and treated successfully by hydroxychloroquine and azithromycin, in addition to anticoagulant therapy.
Keywords: COVID-19; acute venothromboembolism; antiphospholipid antibodies; lung infarction COVID-19; acute venothromboembolism; antiphospholipid antibodies; lung infarction

Share and Cite

MDPI and ACS Style

Bin Ali, T.; Elyamany, G.; Nojoom, M.; Alfaki, M.; Alahmari, H.; Alharthi, A.; Hijazi, M.; Alsahari, A.; Alabbas, F.; Al-Otaibi, A. Unusual Presentation of COVID-19 in a Child Complicated by Massive Acute Pulmonary Embolism and Lung Infarction. Hematol. Rep. 2021, 13, 8874. https://doi.org/10.4081/hr.2021.8874

AMA Style

Bin Ali T, Elyamany G, Nojoom M, Alfaki M, Alahmari H, Alharthi A, Hijazi M, Alsahari A, Alabbas F, Al-Otaibi A. Unusual Presentation of COVID-19 in a Child Complicated by Massive Acute Pulmonary Embolism and Lung Infarction. Hematology Reports. 2021; 13(1):8874. https://doi.org/10.4081/hr.2021.8874

Chicago/Turabian Style

Bin Ali, Tahani, Ghaleb Elyamany, Maha Nojoom, Mohamed Alfaki, Hassan Alahmari, Abdulwahab Alharthi, Muwaffak Hijazi, Atif Alsahari, Fahad Alabbas, and Abdulnasir Al-Otaibi. 2021. "Unusual Presentation of COVID-19 in a Child Complicated by Massive Acute Pulmonary Embolism and Lung Infarction" Hematology Reports 13, no. 1: 8874. https://doi.org/10.4081/hr.2021.8874

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