Abstract

ALVAREZ DUARTE, Héctor Temístocles; SAVIGNE GUTIERREZ, William Orlando; FERNANDEZ MONTEQUIN, José Ignacio  and  JAY CARBONELL, Vilma Gloria. Ischemic gangrene of low limb in patient with COVID-19. Rev Cubana Angiol Cir Vasc [online]. 2020, vol.21, n.3, e217.  Epub Jan 22, 2021. ISSN 1682-0037.

In December, 2019 in the Chinese city of Wuhan were reported the first cases of a new disease associated to SARS-CoV-2, called COVID-19 and it was declared as a pandemic by WHO. This disease had high lethality in patients older than 60 years whom in some cases reported predisposition to develop microthrombosis and/or thrombosis in the arterial and venous system. Cuba presented its first case in April, 2020 with a similar behaviour, then our health system implemented effective measures and put into practice all the knowledge accumulated by the scientific community. In this sense, it is presented a scientific interest case of ischemic gangrene of low limb in a patient with COVID-19. The 42 years old female patient was diagnosed with COVID-19 and other comorbidities, as well as with a severe acute respiratory condition, associated to a microthrombosis process and lesions of distal ischemic grangrene of left low limb´s toes, due to the microthrombosis related with excesive inflammation, platelets activation, endothelial dysfunction and stasis. Thanks to the protocols applied in Cuba, the patient survived to those complications. This case shows a complication that is not fully described to the moment, something which must be reported and known as theoric-practical scientific interest of our health professionals.

Keywords : Ischemic gangrene; microthrombosis; COVID-19.

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