Pulmonary embolism in an adolescent with COVID-19 pneumonia

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. We report the case of a 15-year-old male with obesity and Down syndrome who was admitted for severe COVID-19 pneumo...

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Published inBoletin medico del Hospital Infantil de Mexico Vol. 80; no. Supl 1; p. 33
Main Authors Nuñez-Paucar, Héctor, Coll-Vela, Liz E De, Peña-Coello, Claudia, Guillen-Buleje, Deli, Atamari-Anahui, Noé, Gomez-Martinez, Luis, Huby-Muñoz, Cynthia L, Zamudio-Aquise, Mariela K, Bernal-Mancilla, Raúl R
Format Journal Article
LanguageEnglish
Published Mexico Permanyer 2023
Subjects
Pulmonary embolism. Pneumonia. Coronavirus disease 2019. SARS-CoV-2. Children
COVID-19
Pulmonary embolism
Pneumonia
SARS-CoV-2
Coronavirus disease 2019
Niños
Embolia pulmonar
Children
Neumonía
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Summary: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. 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. There are few reports of PE in children with COVID-19. Prompt diagnosis and early anticoagulant treatment are important to avoid life-threatening complications.
ISSN:0539-6115
1665-1146
DOI:10.24875/BMHIM.22000076