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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
Boletin medico del Hospital Infantil de Mexico, 2023, Letnik: 80, Številka: Supl 1Journal Article
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.
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