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. 2020 May 19;7(6):001724.
doi: 10.12890/2020_001724. eCollection 2020.

COVID-19 Presenting as Acute Limb Ischaemia

Parminder Kaur  1 , Sahitya Posimreddy  1 , Balraj Singh  2 , Firas Qaqa  1 , Habib A Habib  1 , Michael Maroules  2 , Fayez Shamoon  1
Affiliations

COVID-19 Presenting as Acute Limb Ischaemia

Parminder Kaur et al. Eur J Case Rep Intern Med. .

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic that developed in late 2019 and early 2020 has caused thousands of deaths and has had an enormous impact on our health systems and economies. Coronavirus disease 2019 (COVID-19) complications include disseminated coagulation and thrombosis, but, to the best of our knowledge, the literature to date on these manifestations has been limited. Herein, we report an unusual presentation in a 43-year-old man with a medical history of diabetes and hypertension who presented with dyspnoea and acute pain in his right leg and was found to have acute limb ischaemia and diabetic ketoacidosis. Our case adds to the literature regarding arterial thrombosis in COVID-19.

Learning points: Arterial thrombosis in the form of acute limb ischaemia can occur in COVID-19.A high index of suspicion should be maintained for acute limb ischaemia, which is a vascular emergency.

Keywords: COVID-19; arterial thrombosis; severe acute respiratory syndrome coronavirus 2.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
CT angiogram showing absent opacification of right popliteal artery, right posterior tibial artery and right peroneal artery
See this image and copyright information in PMC

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