COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection
Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and C...
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| Veröffentlicht in: | The American journal of emergency medicine 2020-07, Vol.38 (7), p.1544.e1-1544.e3 |
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| creator | Casey, Kyla Iteen, Alexander Nicolini, Reese Auten, Jonathan |
| description | Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections. |
| doi_str_mv | 10.1016/j.ajem.2020.04.011 |
| format | Article |
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The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. 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The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Angiography</subject><subject>Betacoronavirus</subject><subject>Computed tomography</subject><subject>Computed Tomography Angiography</subject><subject>Coronavirus</subject><subject>Coronavirus Infections - complications</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>EKG</subject><subject>Electrocardiography</subject><subject>Embolism</subject><subject>Emergency medical care</subject><subject>Hemoptysis</subject><subject>Hemoptysis - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - complications</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>Pulmonary embolism</subject><subject>Pulmonary Embolism - diagnostic imaging</subject><subject>Pulmonary Embolism - virology</subject><subject>Pulmonary embolisms</subject><subject>Renal function</subject><subject>Respiratory distress syndrome</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Thromboembolism</subject><subject>Venous thromboembolism</subject><subject>Venous Thromboembolism - diagnostic imaging</subject><subject>Venous Thromboembolism - virology</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFP3DAQha2Kqiy0f6AHZIlz0nFixwlCSGhbWiQkLqhXy-tMWEeJHexkEf--Xi1F9NLTHPy9N8_zCPnKIGfAqm99rnsc8wIKyIHnwNgHsmKiLLKaSXZEViBLkVVSyGNyEmMPieCCfyLHZVGyQki-ItP6_vft94w1dHK4jN5ZTZ_tvKVbHP00v0QbL-i1WWakER9HdLMe6LQMidThheK48YOlOkZvrJ6xPYid3-FAjQ-J2tmwRGpdh2a23n0mHzs9RPzyOk_Jw82Ph_Wv7O7-5-36-i4zXMCcCQOoNZimrkEj7-RGMqGhbUzVNqDLhjHZ8Sp9qdO17hAk1CDaqu1kYcpNeUquDrbTshmxNSl40IOagh1TbuW1Vf--OLtVj36nJOOsKiEZnL8aBP-0YJxV75fgUmRVcNYAr6WsElUcKBN8jAG7tw0M1L4k1at9SWpfkgKuUgVJdPY-25vkbysJuDwAmA60sxhUNBadwdaGdEXVevs__z-sOqXa</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Casey, Kyla</creator><creator>Iteen, Alexander</creator><creator>Nicolini, Reese</creator><creator>Auten, Jonathan</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><general>W B Saunders</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20200701</creationdate><title>COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection</title><author>Casey, Kyla ; 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| identifier | ISSN: 0735-6757 |
| ispartof | The American journal of emergency medicine, 2020-07, Vol.38 (7), p.1544.e1-1544.e3 |
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| subjects | Acute Disease Adult Angiography Betacoronavirus Computed tomography Computed Tomography Angiography Coronavirus Coronavirus Infections - complications Coronavirus Infections - diagnosis Coronaviruses COVID-19 EKG Electrocardiography Embolism Emergency medical care Hemoptysis Hemoptysis - etiology Humans Male Medical imaging Pandemics Pneumonia, Viral - complications Pneumonia, Viral - diagnosis Pulmonary embolism Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - virology Pulmonary embolisms Renal function Respiratory distress syndrome SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Thromboembolism Venous thromboembolism Venous Thromboembolism - diagnostic imaging Venous Thromboembolism - virology |
| title | COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection |
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