[Ischemic gangrene of the upper limb associated with COVID-19 infection: about 2 cases]

Pan Afr Med J. 2023 Feb 7:44:77. doi: 10.11604/pamj.2023.44.77.37507. eCollection 2023.
[Article in French]

Abstract

Clinical manifestations of COVID-19 have changed a lot, ranging from respiratory and Ear, Nose and Throat (ENT) symptoms to extra pulmonary thrombotic, neurological, cardiac and renal complications. We here report the case of two patients with SARS-CoV-2 pneumonia whose course was marked by prolonged upper limb ischemia. The association between venous, but also arterial, thrombotic complications and viral infection is now well established, and appears to be related to hypercoagulability.

Les manifestations cliniques de la COVID-19 ont beaucoup évolué allant de signes respiratoires et Oto-rhino-laryngologie (ORL) aux complications extra pulmonaires thrombotiques, neurologiques, cardiaques, rénales. Nous rapportons les observations de deux patients atteints de pneumopathie SARS-CoV-2 et dont l'évolution a été marquée par une ischémie dépassée du membre supérieur. L'association de complications thrombotiques veineuses, mais aussi artérielles, à l'infection virale est maintenant bien établie, et semble en rapport avec une hypercoagulabilité.

Keywords: COVID-19; Ischemia; case report; gangrene.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • COVID-19* / complications
  • Gangrene* / etiology
  • Humans
  • Ischemia / etiology
  • SARS-CoV-2
  • Upper Extremity