Pulmonary embolism in pediatric and adolescent patients with COVID‐19 infection during the SARS‐CoV‐2 delta wave

Coronavirus disease 2019 (COVID‐19) infection in children has been associated with thrombosis, though few cases of COVID‐associated pulmonary embolism (PE) have been described. We performed a retrospective review of the nine cases of COVID‐19‐associated PE during the B.1617.2 variant surge at Texas...

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Bibliographic Details
Published in:Pediatric blood & cancer 2022-08, Vol.69 (8), p.e29721-n/a
Main Authors: Cohen, Clay T., Riedl, Ruth A., Gowda, Srinath T., Sartain, Sarah E., Bashir, Dalia A.
Format: Article
Language:English
Subjects:
anticoagulation
Children
Coronaviruses
COVID-19
Embolism
Hematology
Hematology: Brief Report
Hematology: Brief Reports
Oncology
Patients
Pediatrics
pulmonary embolism
Pulmonary embolisms
Severe acute respiratory syndrome coronavirus 2
Thrombolysis
Thrombosis
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Summary:Coronavirus disease 2019 (COVID‐19) infection in children has been associated with thrombosis, though few cases of COVID‐associated pulmonary embolism (PE) have been described. We performed a retrospective review of the nine cases of COVID‐19‐associated PE during the B.1617.2 variant surge at Texas Children's Hospital. The patient cohort largely contained unvaccinated obese adolescents. All patients were critically ill with two requiring catheter‐directed thrombolysis in addition to anticoagulation. Eight of the nine patients had COVID pneumonia along with PE. This report stresses the importance of maintaining a high index of suspicion for PE in pediatric COVID‐19 infection and vaccinating obese adolescent patients.
ISSN:1545-5009
1545-5017
DOI:10.1002/pbc.29721