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Year : 2021  |  Volume : 13  |  Issue : 1  |  Page : 38-41

Persistent hypercoagulable state in COVID-19: A case series of COVID-19 associated pulmonary embolism

1 Department of Internal Medicine, Saint Michael's Medical Centre, New York Medical College, Newark, New Jersey, USA
2 Department of Internal Medicine; Department of Hematology/Oncology, Saint Michael's Medical Centre, New York Medical College, Newark, New Jersey, USA
3 Department of Internal Medicine; Department of Infectious Disease, Saint Michaels' Medical Centre, New York Medical College, Newark, New Jersey, USA

Correspondence Address:
Dr. Kok Hoe Chan
Saint Michael's Medical Center, New York Medical College, Newark, New Jersey 07101
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jgid.jgid_180_20

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Coronavirus disease 2019 (COVID-19) has swept through the world with millions of cases and hundreds of thousands of deaths. COVID-19-associated coagulopathy has been recognized as the major cause of morbidity and mortality. To the best of our knowledge, a majority of the cases of coagulopathy have been reported in patients with moderate-to-severe COVID-19 and limited to observations during the recovery/postcytokine storm state. Herein, we report a case series of two patients with COVID-19 who developed pulmonary embolism in the late phase of the disease. This raised the hypothesis that the risk of hypercoagulability in patients with COVID-19 can persist until the recovery phase, which would warrant a follow-up with D-dimer and fibrinogen trending, as well as postdischarge thromboprophylaxis for at least 2 weeks during the recovery phase.

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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008