Similar symptoms, signs, and laboratory abnormalities between coronavirus disease 2019 (COVID-19) and pulmonary embolism (PE) creates a diagnostic challenge to every physician, and emerging data show an association between COVID-19, hypercoagulable state, and venous thromboembolism. We present a rare case of COVID-19 presented as bilateral sub-massive PE. A 28-year-old COVID-19 positive female with no significant past medical history presented with a dry cough and shortness of breath for three days. Initial laboratory test showed elevated D-dimer, electrocardiogram (EKG) showed right axis deviation, right ventricular strain pattern, and S I Q III T III pattern, and echocardiogram (ECHO) showed right ventricular dysfunction. Those two bedside tests directed the urgency of chest CT angiography that showed bilateral sub-massive PE. Since EKG finding of S I Q III T III pattern and right ventricular strain, and ECHO finding of right ventricular dysfunction are well described in PE but not in COVID-19, these bedside diagnostic tools can help identify COVID-19 patients with underlining PEs.
【저자키워드】 corona virus disease 2019, Pulmonary thromboembolism, Computed tomography pulmonary angiography, 【초록키워드】 COVID-19, coronavirus disease, diagnostic, D-dimer, Venous Thromboembolism, Symptoms, Laboratory, Chest CT, female, association, COVID-19 patient, hypercoagulable, Shortness of breath, Echocardiogram, dry cough, help, urgency, positive, past medical history, deviation, ventricular dysfunction, described, identify, elevated, laboratory abnormality, EKG, ventricular, 【제목키워드】 COVID-19, pulmonary, Embolism, Bilateral,