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Boletín médico del Hospital Infantil de México
versão impressa ISSN 1665-1146
Resumo
NUNEZ-PAUCAR, Héctor et al. Pulmonary embolism in an adolescent with COVID-19 pneumonia. Bol. Med. Hosp. Infant. Mex. [online]. 2023, vol.80, suppl.1, pp.33-39. Epub 11-Set-2023. ISSN 1665-1146. https://doi.org/10.24875/bmhim.22000076.
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.
Palavras-chave : Pulmonary embolism; Pneumonia; Coronavirus disease 2019; SARS-CoV-2; Children.