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

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.PMID:33794592 | DOI:10.4081/monaldi.2021.1739

Source: Monaldi Archives for Chest Disease - April 2, 2021 Category: Respiratory Medicine Authors: Antonietta Coppola Anna Annunziata Maria Rosaria Gioia Giuseppe Fiorentino Source Type: research