COVID Toes: Concurrent Lower Limb Arterial and Venous Thromboembolism in a Patient with COVID-19 Pneumonitis Presenting with Foot Ischaemia. (February 2022)

• Record Type: Journal Article
• Authors: Lee, Kathryn A.; McBride, Richard S.; Narlawar, Ranjeet; Myers, Rebecca; Antoniou, George A.
• Is Part Of: Vascular & endovascular surgery. Volume 56:Number 2(2022)
• Page Start: 201
• Page End: 207
• Publication Date: 2022-02
• Subjects: COVID-19 -- SARS-CoV-2 -- coronavirus -- arterial thromboembolism -- venous thromboembolism -- foot ischaemia -- acral ischaemia -- COVID toes -- amputation; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/15385744211045600
• Languages: English
• ISSNs: 1538-5744

Abstract

We present a 74-year-old gentleman, who presented with foot ischaemia requiring bilateral amputation in the absence of radiological signs of occlusive peripheral arterial disease. He was found to have COVID-19 pneumonitis and concurrent arterial and venous thromboemboli despite no initial respiratory symptoms or signs, nor pre-existing risk factors for cardiovascular disease. Patients who present with foot ischaemia with or without respiratory symptoms or signs warrant a high index of suspicion for COVID-19 infection, particularly in those with no predisposing risk factors.