Observation of COVID-19-associated coagulopathy in a patient of ENT hospital

Tatyana A Zavalko,Tatyana Y Vladimirova,Lyudmila A Baryshevskaya,Lyubov V Fileva,Ekaterina D Medvedeva

doi:10.35693/2500-1388-2021-6-2-20-24

Tatyana A Zavalko, Tatyana Y Vladimirova + Show 3 more

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https://doi.org/10.35693/2500-1388-2021-6-2-20-24

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Abstract

The article presents a clinical case of a patient of the otorhinolaryngology department of the Samara Clinical Hospital No. 8 who had a new coronavirus infection. Complications were manifested by primary thrombosis of the orbital veins, facial veins, followed by the spread of the process into the pterygoid plexus, veins of the nasal cavity and paranasal sinuses. The study analyzes the dynamics of the clinical picture and compares it with the results of the postmortem examination. Vascular thrombosis of the nasal cavity and paranasal sinuses during X-ray examination can manifest itself as a decrease in pneumatization of the sinuses with possible minor exudation due to ischemic changes in the mucous membrane. Thrombosis developing with underlying COVID-19-associated coagulopathy can have different initial localizations and are a formidable complication with a high mortality rate. Patients who have undergone COVID-19 need to control the coagulogram not only during the illness, but also during the period of convalescence and early periods after recovery.

Highlights

Внастоящее время активно изучаются клинические и эпидемиологические особенности заболевания, вызванного вирусом SARS Cov-2 [1, 2]
The article presents a clinical case of a patient of the otorhinolaryngology department
Complications were manifested by primary thrombosis of the orbital veins

Summary

Introduction

Внастоящее время активно изучаются клинические и эпидемиологические особенности заболевания, вызванного вирусом SARS Cov-2 [1, 2]. ORCID: 0000-0003-1955-6423 E-mail: fzavalko@mail.ru Tatyana Yu. Vladimirova – PhD, Associate professor, Head of the Otorhinolaryngology Department and Clinic named after academician I.B. Soldatov. Тромбоэмболия легочной артерии, тромбоз вен нижних конечностей, мезентериальных сосудов при инфекции COVID-19 развиваются довольно часто [4,5,6,7,8]. В оториноларингологическое отделение ГБУЗ СО СГКБ No8 с жалобами на интенсивную боль в правой половине головы, отек правой половины лица, век правого глаза, общую слабость, серозно-сукровичные выделения из правой половины носа и образование корок в ней.

Results

Conclusion