Splenic Surprise: Investigating a Case of Splenic Infarct as an Isolated COVID-19 Manifestation

Coronavirus disease 2019 (COVID-19) infection has been associated with a multitude of complications, one established complication being thromboembolism, a result of the proinflammatory state induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This prothrombotic state is a cumula...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e53438
Main Authors: Mohtadi, Malina, Ozgur, Sacide S, Russo, Joseph, Ansari, Nida, Michael, Patrick
Format: Article
Language:English
Subjects:
Abdomen
Antigens
Asymptomatic
Case reports
COVID-19
Dehydrogenases
Hematology
Hemoglobin
Infections
Infectious Disease
Internal Medicine
Iron
Medical imaging
Nausea
Proteins
Severe acute respiratory syndrome coronavirus 2
Thromboembolism
Tumor necrosis factor-TNF
Ultrasonic imaging
Vomiting
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Summary:Coronavirus disease 2019 (COVID-19) infection has been associated with a multitude of complications, one established complication being thromboembolism, a result of the proinflammatory state induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This prothrombotic state is a cumulation of many inflammatory pathways at work. Here, we present an interesting case of a 43-year-old female who did not present with the typical COVID-19 clinical picture. Instead, she presented with periumbilical pain, nausea, and vomiting. Upon further investigation, she was found to have a splenic infarct on a computed tomography (CT) scan. An extensive workup was performed to explore possible etiologies; however, it was concluded that her splenic infarct was secondary to her COVID-19 infection. With this case, we aim to add to the literature regarding the manifestations of the prothrombotic state of SARS-CoV-2.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.53438