Affiliation:
1. Irkutsk State Medical University Health Ministry of Russian Federation
Abstract
The article presents a clinical case of the fatal Mallory- Weiss syndrome, which suddenly developed in an 86-year-old patient with a new coronavirus infection COVID-19, complicated by bilateral polysegmental pneumonia. The patient had no history of gastroesophageal refl ux disease, gastric ulcer or duodenal ulcer. The level of D-dimer on admission was elevated, but the patient was prescribed a reduced dose of anticoagulants (heparin). Despite the initial positive dynamics of the condition, the patient had a wave-like course of COVID-19, followed by the development of Mallory- Weiss syndrome, extremely severe post-hemorrhagic anemia and multiple organ failure, which became the cause of death.
Publisher
LLC Global Media Technology
Reference11 articles.
1. Al- Samkari H., Karp Leaf R. S., Dzik W. H., et al. COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-CoV-2 infection. Blood. 2020;136:489–500. Doi:10.1182/blood.2020006520
2. Cherednikov E.F., Maleev Yu.V., Chernykh A. V., et al. Th e Modern View on Etiology and Pathogenesis of Gastro- Esophageal Laceration Syndrome (Mellori- Weiss Syndrome). Journal of Anatomy and Histopathology. 2016;5(1):86–98. (In Russ.) doi:10.18499/2225–7357– 2016–5–1–86–98
3. Beloborodov V.A., Kozhevnikov M. A., Kelchevskay E. A., et al. Esophageal Hemorrhagic Syndromes. Acta Biomedica Scientifica. 2019;4(3):81–88. (In Russ.) doi:10.29413/ABS.2019–4.3.10
4. Blevins C.H., Iyer P. G., Vela M. F., Katzka D. A. Th e Esophageal Epithelial Barrier in Health and Disease. Clinical gastroenterology and hepatology. 2018;16(5):608– 617. Doi:10.1016/j.cgh.2017.06.035
5. Zhang H., Penninger J. M., Li Y., et al. Angiotensinconverting enzyme 2 (ACE2) as a SARS-CoV-2 receptor: molecular mechanisms and potential therapeutic target. Intensive care medicine. 2020;46(4):586–590. Doi:10.1007/ s00134–020–05985–9
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献