Pulmonary embolism in an adolescent with COVID-19 pneumonia

Héctor Nuñez-Paucar, Liz E. De Coll-Vela, Claudia Peña-Coello, Deli Guillen-Buleje, Noé Atamari-Anahui, Luis Gomez-Martinez, Cynthia L. Huby-Muñoz, Mariela K. Zamudio-Aquise, Raúl R. Bernal-Mancilla

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Pulmonary embolism (PE) is a complication reported in the adult population with coronavirus disease 2019 (COVID-19); however, its documentation in the pediatric population is limiteda. Case report: We report the case of a 15-year old male with obesity and Down syndrome who was admitted for severe COVID-19 pneumonia. On day 7 of admission, he presented with chest pain, hemoptysis, respiratory distress, and marked elevation of D-dimer. Pulmonary CT angiography found an extensive thrombus in the right lower lobar artery. He received treatment with enoxaparin and rivaroxaban and had a favorable clinical outcome. In the tomographic control 1 month after treatment, thrombus was not evidenced and was successfully resolved. Conclusions: There are few reports of PE in children with COVID-19. Prompt diagnosis and early anticoagulant treatment are important to avoid life-threatening complications.

Translated title of the contributionTromboembolismo pulmonar en un adolescente con neumonía COVID-19
Original languageEnglish
Pages (from-to)33-39
Number of pages7
JournalBoletin Medico del Hospital Infantil de Mexico
Volume80
DOIs
StatePublished - Jul 2023

Keywords

  • Children
  • Coronavirus disease 2019
  • Pneumonia
  • Pulmonary embolism
  • SARS-CoV-2

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