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A case of severe COVID-19 with pulmonary thromboembolism related to heparin-induced thrombocytopenia during prophylactic anticoagulation therapy.
Sasaki, Kosaku; Murata, Masayuki; Nakamura, Keiji; Matsumoto, Yuji; Nakashima, Yuko; Yamasaki, Sho; Ota, Azusa; Hiramine, Satoshi; Takayama, Koji; Ikezaki, Hiroaki; Toyoda, Kazuhiro; Ogawa, Eiichi; Shimono, Nobuyuki.
  • Sasaki K; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Murata M; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan. Electronic address: masayuki.murata.097@m.kyushu-u.ac.jp.
  • Nakamura K; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Matsumoto Y; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Nakashima Y; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Yamasaki S; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Ota A; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Hiramine S; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Takayama K; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Ikezaki H; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Toyoda K; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Ogawa E; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
  • Shimono N; Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan.
J Infect Chemother ; 28(8): 1208-1211, 2022 Aug.
Статья в английский | MEDLINE | ID: covidwho-1983457
ABSTRACT
A 53-year-old male Japanese patient with COVID-19 was admitted to our hospital after his respiratory condition worsened on day 9 of the disease. With the diagnosis of severe COVID-19, treatment with remdesivir, dexamethasone, and unfractionated heparin was started for the prevention of thrombosis. Although the patient's respiratory status data improved after treatment, severe respiratory failure persisted. Thrombocytopenia and D-dimer elevation were observed on day 8 after heparin therapy initiation. Heparin-induced thrombocytopenia (HIT) antibody measured by immunological assay was positive, and contrast computed tomography showed pulmonary artery thrombus. The patient was diagnosed with HIT because the pre-test probability score (4Ts score) for HIT was 7 points. Heparin was changed to apixaban, a direct oral anticoagulant, which resulted in a reduction of the pulmonary thrombus and improvement of the respiratory failure. In patients with COVID-19, anticoagulant therapy with heparin requires careful monitoring of thrombocytopenia and elevated D-dimer as possible complications related to HIT. (151/250 words).
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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Pulmonary Embolism / Respiratory Insufficiency / Thrombocytopenia / Thrombosis / COVID-19 Drug Treatment Тип исследования: История болезни / Диагностическое исследование / Прогностическое исследование Темы: Длинный Ковид Пределы темы: Люди / Мужчины / Middle aged Язык: английский Журнал: J Infect Chemother Тематика журнала: Микробиология / Лекарственная терапия Год: 2022 Тип: Статья Аффилированная страна: J.jiac.2022.05.001

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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Pulmonary Embolism / Respiratory Insufficiency / Thrombocytopenia / Thrombosis / COVID-19 Drug Treatment Тип исследования: История болезни / Диагностическое исследование / Прогностическое исследование Темы: Длинный Ковид Пределы темы: Люди / Мужчины / Middle aged Язык: английский Журнал: J Infect Chemother Тематика журнала: Микробиология / Лекарственная терапия Год: 2022 Тип: Статья Аффилированная страна: J.jiac.2022.05.001