Hastane Yatýþý Olmayan Ýki Olguda COVID-19 Enfeksiyonu Sonrasý Geliþen Pulmoner Em-boli

Ağýr Akut Solunum Sendromu Coronavirus 2’nin (SARS-CoV2) etken olduğu SARS-CoV2 enfeksiyonu; inflamasyon artýşý, trombosit aktivasyonu, endotel disfonksiyonu ve kan akýmýnda stazýn etkisiyle hem venöz hem de arteriyel sistemde tromboz gelişimine neden olabilir. Bu nedenle pekçok rehber yatan hastalarda tromboz profilaksisi önermesine raðmen, ayaktan takip edilen hastalarda önerilmemektedir. COVID-19 enfeksiyonu nedeni ile tedavi verilen ve hastane yatýþý gerekmeyen iki hastamýzda, tedavi sonrasýnda nefes darlýðý ve göðüs aðrýsý yakýnmalarý ile baþvurduklarý acil serviste, bilgisayarlý tomografi tetkikinde pulmoner emboli saptandý. Biz bu olgular ile non-hospitalize hastalarda, kanama / tromboz dengesi göz önünde bulundurularak, tromboz profilaksisi gerekliliðini vurgulamak amacý ile sunmayý uygun bulduk.

Pulmonary Embolism after COVID-19 Infection in two Non-hospitalized Cases

SARS-CoV2 infection caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) may result in thrombosis development in both venous and arterial systems under the effects of inflammation increase, thrombocyte activation, endothelial dysfunction and stasis in blood flow. Accordingly, although many guidelines recommend thrombosis prophylaxis for hospitalized patients, it is not recommended for outpatients. Pulmonary embolisms were detected on computed tomography examinations performed in the emergency department in the two patients in the present study, who were being treated for coronavirus disease-19 (COVID-19) infection, but who did not require hospitalization, and who presented with complaints of shortness of breath and chest pain after treatment. We deemed it appropriate to present these cases in non-hospitalized patients to emphasize the need for thrombosis prophylaxis, considering the balance of bleeding and thrombosis.

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