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

doi:10.24875/BMHIM.22000076

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

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-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 contribution	Tromboembolismo pulmonar en un adolescente con neumonía COVID-19
Original language	English
Pages (from-to)	33-39
Number of pages	7
Journal	Boletin Medico del Hospital Infantil de Mexico
Volume	80
DOIs	https://doi.org/10.24875/BMHIM.22000076
State	Published - Jul 2023

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Pulmonary embolism in an adolescent with COVID-19 pneumonia",

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.",

keywords = "Children, Coronavirus disease 2019, Pneumonia, Pulmonary embolism, SARS-CoV-2",

author = "H{\'e}ctor Nu{\~n}ez-Paucar and {De Coll-Vela}, {Liz E.} and Claudia Pe{\~n}a-Coello and Deli Guillen-Buleje and No{\'e} Atamari-Anahui and Luis Gomez-Martinez and Huby-Mu{\~n}oz, {Cynthia L.} and Zamudio-Aquise, {Mariela K.} and Bernal-Mancilla, {Ra{\'u}l R.}",

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year = "2023",

month = jul,

doi = "10.24875/BMHIM.22000076",

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T1 - Pulmonary embolism in an adolescent with COVID-19 pneumonia

AU - Nuñez-Paucar, Héctor

AU - De Coll-Vela, Liz E.

AU - Peña-Coello, Claudia

AU - Guillen-Buleje, Deli

AU - Atamari-Anahui, Noé

AU - Gomez-Martinez, Luis

AU - Huby-Muñoz, Cynthia L.

AU - Zamudio-Aquise, Mariela K.

AU - Bernal-Mancilla, Raúl R.

PY - 2023/7

Y1 - 2023/7

N2 - 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.

AB - 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.

KW - Children

KW - Coronavirus disease 2019

KW - Pneumonia

KW - Pulmonary embolism

KW - SARS-CoV-2

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U2 - 10.24875/BMHIM.22000076

DO - 10.24875/BMHIM.22000076

M3 - Artículo

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AN - SCOPUS:85165649119

SN - 0539-6115

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SP - 33

EP - 39

JO - Boletin Medico del Hospital Infantil de Mexico

JF - Boletin Medico del Hospital Infantil de Mexico

ER -

Pulmonary embolism in an adolescent with COVID-19 pneumonia

Abstract

Keywords

UN SDGs

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