Thrombotic complication in Covid19 non hospitalized patients: an underestimated phenomenon?

Abstract

Intro Thrombotic complications are quite frequent during SARS-CoV2 infection, especially during severe disease and in hospitalized patients. The incidence in mild disease is not clear and probably few cases have been identified. Case report We reported a case of a 60-year-old man with no previous history admitted in our unit for splenic infarct and a floating clot into the descending aorta without signs of severe disease. Discussion Several mechanisms to clarify prothrombotic state have been described and the exact prevalence of thromboembolic phenomenon is probably underestimated. There is no consensus about the treatment and the indication to prevent these complications in non-hospitalized patients. Conclusion Thrombotic events should be suspected also in fit patients with previous or actual symptoms suggestive for Covid 19 infection. Further analysis should be performed to stratify the risk in non hospitalized patients and the indication for prophylactic treatment.

Keywords

• covid19
• splenic infarct
• thrombosis
• floating clot