Bleeding events in COVID-19: the other side of the coin?

https://doi.org/10.4081/monaldi.2021.1739

Authors

  • Antonietta Coppola | antonietta.coppola84@gmail.com Department of Respiratory Pathophysiology, Monaldi-Cotugno Hospital, Naples, Italy. https://orcid.org/0000-0002-6596-3065
  • Anna Annunziata Department of Respiratory Pathophysiology, Monaldi-Cotugno Hospital, Naples, Italy.
  • Maria Rosaria Gioia Department of Respiratory Pathophysiology, Monaldi-Cotugno Hospital, Naples, Italy.
  • Giuseppe Fiorentino Department of Respiratory Pathophysiology, Monaldi-Cotugno Hospital, Naples, Italy. https://orcid.org/0000-0002-2523-9769

Abstract

We present three cases of patients affected by severe SARS-CoV-2-related pneumonia treated with a low molecular weight heparin for prevention or treatment of pulmonary embolism, who presented a major bleed, in particular an ileopsoas haematoma that caused severe anaemia; in one case it was fatal. In the recent outbreak of novel coronavirus infection, significantly abnormal coagulation parameters in SARS-CoV-2 infection occur very often, but complications in the opposite direction such as bleeding diathesis are very rare. In these cases, there are different levels of gravity: for one patient the major bleed required the anticoagulant therapy to be stopped until bleeding stabilized, one patient needed interventional radiology and one patient died.

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References

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Published
2021-04-01
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Issue
Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
COVID 19, LMWH, ileopsoas bleeding
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How to Cite
Coppola, Antonietta, Anna Annunziata, Maria Rosaria Gioia, and Giuseppe Fiorentino. 2021. “Bleeding Events in COVID-19: The Other Side of the Coin?”. Monaldi Archives for Chest Disease, April. https://doi.org/10.4081/monaldi.2021.1739.

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