Abstract
A 53-year-old man with diabetes came to the emergency department with fever and dry cough for 5 days, swelling of the left leg for 2 days, shortness of breath and chest pain for 1 hour. He had raised temperature, tachycardia, tachypnoea, reduced oxygen saturation and swollen tender left leg on examination. The frontal chest radiograph showed bilateral ground-glass opacities; he tested positive for COVID-19 with elevated D-dimer. The colour Doppler examination of the left leg revealed acute deep vein thrombosis (DVT) of the common femoral and the popliteal veins. The chest CT showed bilateral diffuse ground-glass opacities predominantly involving peripheral zones and the lower lobes. The CTPA revealed left pulmonary thromboembolism (PTE), treated with low-molecular-weight heparin. COVID-19 predominantly affects the respiratory system. DVT and PTE are common in COVID-19 but lethal. They should be diagnosed early by clinical and radiological examinations and treated promptly with anticoagulants.
Keywords: COVID-19; radiology (diagnostics); venous thromboembolism.
【저자키워드】 COVID-19, venous thromboembolism., radiology (diagnostics), 【초록키워드】 thrombosis, D-dimer, oxygen, diabetes, heparin, Venous Thromboembolism, emergency department, ground-glass opacity, oxygen saturation, Ground-glass opacities, Chest CT, radiology, Chest, Fever, Thromboembolism, temperature, Respiratory system, respiratory, Chest radiograph, Deep vein thrombosis, Pulmonary thromboembolism, Anticoagulants, chest pain, DVT, CTPA, lower lobes, popliteal veins, Deep vein, Shortness of breath, Tachycardia, examination, dry cough, swelling, zone, lobes, positive, lethal, Radiological examinations, tachypnoea, Affect, Doppler, tested, diagnosed, raised, elevated, reduced, treated, diabete, popliteal, radiological examination, 【제목키워드】 Severe COVID-19 pneumonia, Thromboembolism, Deep vein thrombosis, Pulmonary thromboembolism,