Background: In late December 2019, a cluster of pneumonia cases due to a novel betacoronavirus, SARS-CoV-2 was reported in China. The so-called COVID 19 is responsible not only for respiratory symptoms, from mild up to pneumonia and even acute respiratory distress syndrome, but also for extrapulmonary involvement. Cases presentation: Here we present two cases of spontaneous muscle hematoma in patients with SARS-CoV-2 infection, both on therapeutic LMWH for atrial fibrillation: the first one was an 86-year-old Caucasian female with a history of hypertensive cardiomyopathy and the second one was an 81-year-old Caucasian male with a history of hypertension, diabetes and ischemic heart disease. Blood tests revealed a considerable drop of hemoglobin and alterations of coagulation system. In both cases, embolization of femoral artery was performed. A few other cases of bleeding manifestations are reported in literature, while a lot has been published about the hypercoagulability related to COVID-19. Conclusions: Our reports and literature review highlight the need of active surveillance for possible hemorrhagic complications in patients with SARS-CoV-2 infection.

Rogani, S., Calsolaro, V., Franchi, R., Calabrese, A., Okoye, C., Monzani, F. (2020). Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review. BMC GERIATRICS, 20(1), 1-6 [10.1186/s12877-020-01963-4].

Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review

Okoye C.;
2020

Abstract

Background: In late December 2019, a cluster of pneumonia cases due to a novel betacoronavirus, SARS-CoV-2 was reported in China. The so-called COVID 19 is responsible not only for respiratory symptoms, from mild up to pneumonia and even acute respiratory distress syndrome, but also for extrapulmonary involvement. Cases presentation: Here we present two cases of spontaneous muscle hematoma in patients with SARS-CoV-2 infection, both on therapeutic LMWH for atrial fibrillation: the first one was an 86-year-old Caucasian female with a history of hypertensive cardiomyopathy and the second one was an 81-year-old Caucasian male with a history of hypertension, diabetes and ischemic heart disease. Blood tests revealed a considerable drop of hemoglobin and alterations of coagulation system. In both cases, embolization of femoral artery was performed. A few other cases of bleeding manifestations are reported in literature, while a lot has been published about the hypercoagulability related to COVID-19. Conclusions: Our reports and literature review highlight the need of active surveillance for possible hemorrhagic complications in patients with SARS-CoV-2 infection.
Articolo in rivista - Articolo scientifico
Case report; COVID-19; Endothelial dysfunction; Muscle haematoma; Vascular disease;
English
2020
20
1
1
6
539
open
Rogani, S., Calsolaro, V., Franchi, R., Calabrese, A., Okoye, C., Monzani, F. (2020). Spontaneous muscle hematoma in older patients with COVID-19: two case reports and literature review. BMC GERIATRICS, 20(1), 1-6 [10.1186/s12877-020-01963-4].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/418041
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