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Year : 2020  |  Volume : 30  |  Issue : 2  |  Page : 110-112

Pulmonary embolism in COVID-19 pneumonia: An overlapping diagnosis or a misdiagnosis?

Department of Cardiology, Ospedale Civile di Dolo, AULSS 3 Serenissima, Venice, Italy

Correspondence Address:
Eleonora Secco
Via Riviera 29 Aprile, 2, 30031 Dolo VE
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_43_20

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Coronavirus pneumonia (COVID-19) is a novel infectious disease with a high mortality rate due to severe acute respiratory syndrome. A 57-year-old woman was admitted to the emergency department (ED) with fever, cough, atypical chest pain, and dyspnea. She remained in the ED for about 48 h while waiting for the result of the COVID-19 oropharyngeal swab. Once she tested positive, she was hospitalized in the pneumological department with a diagnosis of pneumonia based on a chest X-ray and biochemical tests. Although azithromycin and hydroxychloroquine were promptly administered, she had a worsening of dyspnea even with a high-flow oxygen mask. D-dimer was increased, and a computed tomography scan with pulmonary and leg angiogram was positive for bilateral pulmonary embolism, deep-venous thrombosis, and multiple consolidated opacities in the lung parenchyma. This case highlights the fact that, in a pandemic situation, there is a potentially fatal risk of overlooking an alternative diagnosis in a COVID-19 patient who is generally considered as suffering only from pneumonia.

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