EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

SPLENIC INFARCTION AN ACCOMPANYING PRESENTATION OF SARS-COV-2 PNEUMONIA: CASE REPORT

Dr. Bhushan S. Wankhade*, Dr. Abdelnasser Ahmed Khalaf Alla Ahmed, Dr. Zeyad Faoor Alrais,
Dr. Ammar Mohamed Abdel Hadi, Dr. Adel Elsaid ElKhouly, and Dr. Nowar Nouralla Fadol Elbasier

ABSTRACT

Coronavirus disease 2019 (COVID-19) is a global pandemic, clinical manifestations range from asymptomatic infection to pneumonia, adult respiratory distress syndrome, sepsis, septic shock, multi-organ failure. Coagulopathy, thromboembolism is common in severe COVID-19 due to complex mechanism. We report the rare case of splenic infarction due to splenic artery occlusion in SARS-CoV-2 pneumonia patient, who presented with left side abdominal pain along with other clinical features of pneumonia. Initially thought was an abdominal manifestation of atypical pneumonia but on detailed evaluation found to be splenic infarction due to thromboembolic complication associated with COVID-19. Splenic infarction latter complicated as splenic abscess, which complicated the overall clinical course of the patient. Splenic infarction in COVID-19 will occur due to thromboembolic occlusion of the splenic artery. Clinical presentation may range from asymptomatic infraction to hemorrhagic shock due to spleen rupture. CECT abdomen is the diagnostic modality of choice. The splenic infarction can complicate as spleen rupture, hemorrhage, splenic abscess, pseudocyst formation. Management involves good hydration, analgesia, anticoagulation, observation for any complication, and intervention required if the patient developed any complication. Prognosis is good with anticoagulation. All physicians managing COVID-19 patients should suspect splenic or other visceral ischemia or infraction if the patient present with abdominal pain. This clinical scenario required prompt investigation and management.

Keywords: COVID-19, Thromboembolic complications, Splenic infractions, Splenic abscess.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing