Saddle pulmonary embolism in a pediatric patient with nephrotic syndrome and recent COVID-19 pneumonia: A case report.

一例肾病综合征和近期 COVID - 19 肺炎的小儿鞍状肺栓塞 ： 病例报告。

• 影响指数: 4.093
• 发表时间: 10 2021
• 来源期刊: Am J Emerg Med
• DOI: 10.1016/j.ajem.2021.04.014
• PMID: 33958247
• 文章类型: Case Reports
• 中科院分区: Q2
• 方向: 医学
• 作者列表: Cristoforo T,McKinley G,Ambrosio P

Mesh: COVID-19 / blood complications; Child; Computed Tomography Angiography; Electrocardiography; Fibrinolytic Agents / therapeutic use; Heparin / therapeutic use; Hospitalization; Humans; Intensive Care Units, Pediatric; Male; Nephrotic Syndrome / complications; Patient Readmission; Pediatric Obesity / complications; Pulmonary Embolism / blood complications diagnosis drug therapy; Pulmonary Heart Disease / diagnosis drug therapy etiology; SARS-CoV-2; Tachypnea; Thrombophilia / blood complications drug therapy; Tissue Plasminogen Activator / therapeutic use; Vomiting

Abstract

The pediatric population accounts for a small portion of those with severe disease related to COVID-19. There are few published reports of hypercoagulable states in children with COVID-19. We describe an 11-year-old male with nephrotic syndrome who required inpatient treatment for COVID-19 pneumonia eight weeks prior. He returned to the emergency department with vomiting, tachypnea and was found to have a pulmonary embolism. In this case report, we discuss the risk factors for, presentation and evaluation of hypercoagulable state and its relation to COVID-19 in a pediatric patient.

摘要

儿科人群占与COVID-19相关的严重疾病人群的一小部分。关于COVID-19儿童高凝状态的报道很少。我们描述了一名11岁的肾病综合征男性，八周前需要住院治疗COVID-19肺炎。他呕吐回到急诊室，呼吸急促，被发现有肺栓塞。在这个案例报告中,我们讨论的风险因素，儿科患者高凝状态及其与COVID-19的关系的介绍和评估。