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Case Report

Secondary Complications in COVID-19 Patients: A Case Series

1
Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia, 80138 Naples, Italy
2
Department of Radiology, Ospedale del Mare, Via Enrico Russo, 80147 Naples, Italy
3
Department of Radiology, Ospedale S. Maria della Pietà, Via della Repubblica, 80035 Nola, Italy
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
These authors contributed equally to this work.
Academic Editor: Barbara Ruaro
Tomography 2022, 8(4), 1836-1850; https://doi.org/10.3390/tomography8040154
Received: 10 May 2022 / Revised: 12 July 2022 / Accepted: 14 July 2022 / Published: 15 July 2022
Introduction. Coronavirus SARS-CoV-2, the causative agent of COVID-19, primarily causes a respiratory tract infection that is not limited to respiratory distress syndrome, but it is also implicated in other body systems. Systemic complications were reported due to an exaggerated inflammatory response, which involves severe alveolar damage in the lungs and exacerbates the hypercoagulation that leads to venous thrombosis, ischemic attack, vascular dysfunction and infarction of visceral abdominal organs. Some complications are related to anticoagulant drugs that are administrated to stabilize hypercoagulability, but increase the risk of bleeding, hematoma and hemorrhage. The aim of this study is to report the diagnostic role of CT in the early diagnosis and management of patients with severe COVID-19 complications through the most interesting cases in our experience. Material and Methods. The retrospective analysis of patients studied for COVID-19 in our institution and hospitals, which are part of the university training network, was performed. Cases. Pneumomediastinum, cortical kidney necrosis, splenic infarction, cerebral ischemic stroke, thrombosis of the lower limb and hematomas are the most major complications that are reviewed in this study. Conclusions. Since the onset of the COVID-19 pandemic, the CT imaging modality with its high sensitivity and specificity remains the preferred imaging choice to diagnose early the different complications associated with COVID-19, such as thrombosis, ischemic stroke, infarction and pneumomediastinum, and their management, which significantly improved the outcomes. View Full-Text
Keywords: COVID-19; complications; SARS-CoV-2 COVID-19; complications; SARS-CoV-2
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MDPI and ACS Style

Belfiore, M.P.; Russo, G.M.; Gallo, L.; Atripaldi, U.; Tamburrini, S.; Caliendo, V.; Impieri, L.; Del Canto, M.T.; Ciani, G.; Parrella, P.; Mangoni di Santo Stefano, M.L.; Salvia, A.A.H.; Urraro, F.; Nardone, V.; Coppola, N.; Reginelli, A.; Cappabianca, S. Secondary Complications in COVID-19 Patients: A Case Series. Tomography 2022, 8, 1836-1850. https://doi.org/10.3390/tomography8040154

AMA Style

Belfiore MP, Russo GM, Gallo L, Atripaldi U, Tamburrini S, Caliendo V, Impieri L, Del Canto MT, Ciani G, Parrella P, Mangoni di Santo Stefano ML, Salvia AAH, Urraro F, Nardone V, Coppola N, Reginelli A, Cappabianca S. Secondary Complications in COVID-19 Patients: A Case Series. Tomography. 2022; 8(4):1836-1850. https://doi.org/10.3390/tomography8040154

Chicago/Turabian Style

Belfiore, Maria Paola, Gaetano Maria Russo, Luigi Gallo, Umberto Atripaldi, Stefania Tamburrini, Valentina Caliendo, Luigi Impieri, Maria Teresa Del Canto, Giovanni Ciani, Pasquale Parrella, Maria Luisa Mangoni di Santo Stefano, Antonio Alessandro Heliot Salvia, Fabrizio Urraro, Valerio Nardone, Nicola Coppola, Alfonso Reginelli, and Salvatore Cappabianca. 2022. "Secondary Complications in COVID-19 Patients: A Case Series" Tomography 8, no. 4: 1836-1850. https://doi.org/10.3390/tomography8040154

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