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.

Bibliographic Details

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:	Digital revista
Language:	English
Published:	Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez 2023
Online Access:	http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1665-11462023000700033
Tags:	Add Tag No Tags, Be the first to tag this record!