Di Tano, Giuseppe and Moschin, Luigi and Loffi, Marco and Testa, Sophie and Danz, Gian Battista (2020) Late Pulmonary Embolism after COVID-19 Pneumonia despite Adequate Rivaroxaban Treatment. European Journal of Case Reports in Internal Medicine, 7 (7). pp. 1-3. ISSN ISSN: 2284-2594
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Abstract
Introduction: SARS-CoV-2 infection may predispose patients to thrombotic disease. Patients with COVID-19 pneumonia who are receiving non-vitamin K antagonists or direct oral anticoagulants for chronic disease are usually switched to heparin treatment during hospitalization. However, information about the most appropriate antithrombotic therapy after the acute infection phase is lacking.Case Description: We report the case of a patient with chronic atrial fibrillation who was recently hospitalized for severe COVID-19 pneumonia. Four weeks after discharge he experienced an episode of an acute pulmonary embolism while on rivaroxaban therapy with adequate drug plasma levels, and in the absence of strong predisposing risk factors.Conclusion: This case highlights the risk of thrombotic complications after COVID-19 infection, raises some concern about their underlying mechanisms, and supports the use of effective anti-thrombotic therapy.
| Item Type: | Article |
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| Uncontrolled Keywords: | Viral diseases, pneumonia, thrombosis, pulmonary embolism, rivaroxaban |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 14 Dec 2021 14:27 |
| Last Modified: | 14 Dec 2021 14:27 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/20919 |
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