Spontaneous bilateral lower limb arterial ischemia due to mild COVID-19
Isquemia arterial bilateral espontánea de extremidades inferiores por COVID-19 leve
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Abstract
Introduction: COVID-19 infection causes pneumonia as part of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2), ranging from asymptomatic and mild disease to a critical and severe condition mediated by a dysregulated immune response. Case presentation: 47-year-old male patient, from an urban area, with no significant medical history. He attended a hospital´s emergency room with lower limb pain since three days prior to consultation. Likewise, he reported previous mild respiratory symptoms. The SARS-CoV-2 test result was positive. Lower-extremity arterial duplex ultrasound showed adequate blood flow with complete distal artery obstruction. Discussion and conclusions: a case is reported on a patient with mild COVID-19 who developed spontaneous lower extremity arterial ischemia requiring amputation. Emphasis is placed on some theories that suggest immune thrombosis and endothelial dysfunction as the causative mechanisms of this complication.
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