Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jul;38(7):1544.e1-1544.e3.
doi: 10.1016/j.ajem.2020.04.011. Epub 2020 Apr 8.

COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection

Kyla Casey  1 , Alexander Iteen  2 , Reese Nicolini  1 , Jonathan Auten  1
Affiliations
Case Reports

COVID-19 pneumonia with hemoptysis: Acute segmental pulmonary emboli associated with novel coronavirus infection

Kyla Casey et al. Am J Emerg Med. 2020 Jul.

Abstract

Recent retrospective studies from Wuhan, China suggest Novel Coronavirus Disease 2019 (COVID-19) may be associated with a hypercoagulable state and increased risk for venous thromboembolism. The overlap in the signs and symptoms of COVID-19 associated Acute Respiratory Distress Syndrome (ARDS) and COVID-19 with concurrent pulmonary embolism creates a diagnostic challenge for emergency medicine physicians in patients already at risk for renal impairment. However, identifying features atypical for COVID-19 alone may play a role in the judicious use of Computed Tomography Angiography among these patients. Hemoptysis is seen in roughly 13% of pulmonary embolism cases and infrequently reported among COVID-19 infections. Additionally, the presence of right heart strain on electrocardiography (EKG) is a well described clinical presentations of pulmonary embolism not reported commonly with COVID-19 infections.

Keywords: COVID-19; Coronavirus; Pulmonary embolism; SARS-CoV-2; Venous thromboembolism.

PubMed Disclaimer

Conflict of interest statement

Declaration of competing interest The views expressed in this case report are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government. We are military service members. This work was prepared as part of our official duties. Title 17 U.S.C. 105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person's official duties.

Figures

Fig. 1
Fig. 1
EKG with an S1Q3T3 Pattern.
Fig. 2
Fig. 2
(a) CT PA showing segmental clot. (b) CT PA Lung window showing bilateral ground glass opacities.
See this image and copyright information in PMC

References

    1. Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q. Clinical characteristics of coronavirus disease 2019 in China. N. Engl. J. Med. 28 Feb. 2020 doi: 10.1056/nejmoa2002032. - DOI - PMC - PubMed
    1. Chen G., Wu D., Guo W., Cao Y., Huang D. Clinical and immunologic features in severe and moderate coronavirus disease 2019. J. Clin. Invest. 2020 Mar 27 (pii: 137244) - PMC - PubMed
    1. Han H., Yang L., Liu R., Liu F., Wu K.L. Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. Clin Chem Lab Med (CCLM) Mar 2020 doi: 10.1515/cclm-2020-0188. - DOI - PubMed
    1. Chen T., Wu D., Chen H., Yan W., Yang D. Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study. BMJ. 2020 Mar 26;368 (m1091) - PMC - PubMed
    1. COVID-19 complicated by acute pulmonary embolism. Radiology: Cardiothoracic Imaging. https://pubs.rsna.org/doi/10.1148/ryct.2020200067. Accessed 30 March, 2020. - DOI - PMC - PubMed

Publication types