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Review

Spontaneous Hematomas and Deep Vein Thrombosis during the Recovery from a SARS-CoV-2 Infection: Case Report and Literature Review

by
Cristina Tudoran
1,2,3,
Mariana Tudoran
1,2,3,*,
Ahmed Abu-Awwad
4,
Talida Georgiana Cut
5,6,7,* and
Florica Voiță-Mekereș
8
1
Department VII, Internal Medicine II, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
2
Center of Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
3
County Emergency Hospital, L. Rebreanu Str., Nr. 156, 300723 Timisoara, Romania
4
Department XV-Orthopedics Traumatology, Urology and Medical Imaging Internal Medicine II, Faculty of Medicine, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
5
Department XIII, Discipline of Infectious Diseases, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
6
Doctoral School, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
7
Center for Ethics in Human Genetic Identifications, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
8
Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania
*
Authors to whom correspondence should be addressed.
Medicina 2022, 58(2), 230; https://doi.org/10.3390/medicina58020230
Submission received: 31 December 2021 / Revised: 28 January 2022 / Accepted: 30 January 2022 / Published: 2 February 2022
(This article belongs to the Section Hematology and Immunology)
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Abstract

Background: The frequent occurrence of thromboembolic events in patients infected with the severe acute respiratory syndrome CoV2 (SARS-CoV-2) virus is a well-recognized fact in the medical literature, but less data is available about possible hemorrhagic incidents. Methods: We report the case of a 76-year-old patient who suffered from a mild COVID-19 infection in September 2021 and after four weeks, experienced a completely spontaneous popliteal hematoma followed by deep vein thrombosis (DVT). Therapy with low molecular weight heparins (LMWH) was started, but subsequently, the patient developed a massive sub-pectoral and calf hematoma leading to moderate post-hemorrhagic anemia and acute kidney injury. This patient was treated completely conservatively. Conclusions: Considering the continuous spread of the infection with various, continuously evolving strains of this virus and the extended use of LWMH in clinical practice, such cases were seldom described in the medical literature, but should be considered as a potential cause for hemorrhagic events.
Keywords: COVID-19; spontaneous hematoma; deep vein thrombosis; low molecular weight heparins COVID-19; spontaneous hematoma; deep vein thrombosis; low molecular weight heparins

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MDPI and ACS Style

Tudoran, C.; Tudoran, M.; Abu-Awwad, A.; Cut, T.G.; Voiță-Mekereș, F. Spontaneous Hematomas and Deep Vein Thrombosis during the Recovery from a SARS-CoV-2 Infection: Case Report and Literature Review. Medicina 2022, 58, 230. https://doi.org/10.3390/medicina58020230

AMA Style

Tudoran C, Tudoran M, Abu-Awwad A, Cut TG, Voiță-Mekereș F. Spontaneous Hematomas and Deep Vein Thrombosis during the Recovery from a SARS-CoV-2 Infection: Case Report and Literature Review. Medicina. 2022; 58(2):230. https://doi.org/10.3390/medicina58020230

Chicago/Turabian Style

Tudoran, Cristina, Mariana Tudoran, Ahmed Abu-Awwad, Talida Georgiana Cut, and Florica Voiță-Mekereș. 2022. "Spontaneous Hematomas and Deep Vein Thrombosis during the Recovery from a SARS-CoV-2 Infection: Case Report and Literature Review" Medicina 58, no. 2: 230. https://doi.org/10.3390/medicina58020230

APA Style

Tudoran, C., Tudoran, M., Abu-Awwad, A., Cut, T. G., & Voiță-Mekereș, F. (2022). Spontaneous Hematomas and Deep Vein Thrombosis during the Recovery from a SARS-CoV-2 Infection: Case Report and Literature Review. Medicina, 58(2), 230. https://doi.org/10.3390/medicina58020230

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