Post COVID-19 sequelae: venous thromboembolism complicated by lower GI bleed

On initial assessment, blood pressure was 120/90 mm Hg, pulse rate was 114 bpm, respiratory rate was 24 cycles/min and room air oxygen saturation was 89%. Renal function test revealed a prerenal pattern acute kidney injury (blood urea nitrogen 24 mg/dL and creatinine 1.3 mg/dL). COVID-19 infection is associated with hypercoagulability.1 Increased risk of developing deep vein thrombosis and pulmonary thromboembolism (cumulative incidence of 2.5%) has been noted in patients who have recovered from COVID-19.2 It has been advised to prescribe patients with oral anticoagulant for 30 days in those who have an increased risk for VTE.3 Our patient happens to be the first case to be reported in the clinical literature to have presented with both VTE and ongoing bleed while not on prophylactic anticoagulation.