Abstract:
COVID-19 infection has been associated with thrombotic complications, especially venous thromboembolism. Although arterial thrombotic complications are rarely seen in these patients, we report the case of a 43-year-old patient who developed thrombosis of the main branch of the left renal artery, causing partial infarction of the left kidney associated with severe pain. He had no risk factors for thrombosis except for COVID-19 infection. We excluded any possible condition usually associated with renal artery thrombosis/embolism (i.e., cardiovascular, oncological, hematological, or rheumatic). The thrombosis resolved after a combination of anticoagulant and anti-platelet therapy. This case highlights the importance of the risk of recurrence of thrombosis in patients with a recent history of COVID-19, even after hospital discharge, improvement of the initial thrombotic event, and clearance of SARS-CoV-2 infection.
摘要:
COVID-19感染与血栓性并发症有关,尤其是静脉血栓栓塞.尽管这些患者很少出现动脉血栓并发症,我们报告了一个43岁的患者,他出现了左肾动脉主要分支的血栓形成,导致左肾部分梗塞并伴有剧烈疼痛。除COVID-19感染外,他没有血栓形成的危险因素。我们排除了通常与肾动脉血栓形成/栓塞相关的任何可能情况(即,心血管,肿瘤学,血液学,或风湿病)。抗凝和抗血小板联合治疗后血栓形成消退。该病例强调了近期有COVID-19病史的患者血栓复发风险的重要性,即使在出院后,改善初始血栓形成事件,和清除SARS-CoV-2感染。