Abstract
COVID-19 has serious thrombotic complications in critically ill patients; however, thrombus is not a typical presenting symptom. This case report describes a patient with no respiratory symptoms who presented to the emergency department with abdominal pain. The pain was attributed to renal thrombosis, but the patient was found to have no risk factors for thrombotic disease and subsequent hypercoagulable work-up was unremarkable. Pulmonary manifestations of COVID-19 infection were detected incidentally on the abdominal CT scan and confirmed via PCR test. The patient was isolated and went on to develop mild respiratory failure secondary to COVID-19 infection. This case suggests that unexplained thrombus in otherwise asymptomatic patients can be a direct result of COVID-19 infection, and serves as a call to action for emergency department clinicians to treat unexplained thrombotic events as evidence of COVID-19.
Keywords: COVID-19; emergency medicine.
【저자키워드】 COVID-19, emergency medicine., 【초록키워드】 Risk factors, Respiratory failure, thrombosis, Thrombotic complications, emergency medicine, Symptom, abdominal pain, pulmonary, Case report, emergency department, Critically ill, COVID-19 infection, CT scan, Patient, Pain, Thrombus, respiratory, PCR test, disease, critically ill patients, asymptomatic patient, Evidence, manifestation, respiratory symptoms, hypercoagulable, evidence of, secondary to, presenting symptom, Factor, no risk, clinician, thrombotic, respiratory symptom, treat, renal, thrombotic event, thrombotic complication, develop, the patient, subsequent, presenting, mild respiratory, 【제목키워드】 asymptomatic patient,