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SARS-CoV-2感染と血栓症。静脈性壊疽を呈した小児に認められた蜂窩織炎の一例
SARS-CoV-2 Infection and Thrombosis: Phlegmasia Cerulea Dolens Presenting with Venous Gangrene in a Child.
PMID: 32673617 DOI: 10.1016/j.jpeds.2020.07.032.
抄録
SARS-CoV-2感染症の12歳女性が静脈壊疽を合併した痰蒸腫を呈した．肺塞栓症と心停止を合併して緊急機械的血栓摘出術を施行し，体外心肺蘇生法と治療的低体温療法を施行した．両側性肺塞栓症と下肢深部静脈血栓症の治療には、段階的超音波カテーテル誘導血栓溶解療法が用いられ、患者は体外膜酸素補給を受けながら治療を受けた。我々は，異常な血栓性合併症を呈した小児において，SARS-CoV-2感染症を疑う必要性を強調した．
A 12-year-old female with SARS-CoV-2 infection presented as phlegmasia cerulea dolens with venous gangrene.. Emergent mechanical thrombectomy was complicated by a massive pulmonary embolism and cardiac arrest for which extracorporeal cardiopulmonary resuscitation and therapeutic hypothermia were employed. Staged-ultrasound assisted catheter directed thrombolysis was employed for treatment of bilateral pulmonary emboli and the extensive lower extremity deep vein thrombosis while the patient received extracorporeal membrane oxygenation support. We highlight the need for heightened suspicion for occult SARS-CoV-2 infection among children presenting with unusual thrombotic complications.
Copyright © 2020 Elsevier Inc. All rights reserved.