Case Report: Sublingual Microcirculatory Alterations in a Covid-19 Patient With Subcutaneous Emphysema, Venous Thrombosis, and Pneumomediastinum

S Grewal, B Harjo, Guclu Aykut, Bulent Ergin, R Nowitzky, Can Ince, Sakir Akin

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Abstract

The Corona virus disease 2019 (Covid-19) has brought a wide range of challenges in intensive care medicine. Understanding of the pathophysiology of Covid-19 relies on interpreting of its impact on the vascular, particularly microcirculatory system. Herein we report on the first use of the latest generation hand-held vital microscope to evaluate the sublingual microcirculation in a Covid-19 patient with subcutaneous emphysema, venous thrombosis and pneumomediastinum. Remarkably, microcirculatory parameters of the patient were increased during the exacerbation period, which is not a usual finding in critically ill patients mostly presenting with a loss of hemodynamic coherence. In contrast, recovery from the disease led to a subsequent amelioration of these parameters. This report clearly shows the importance of microcirculatory monitoring for evaluating the course and the adequacy of therapy in Covid-19 patients.

Original languageEnglish
Article number624695
JournalFrontiers in Medicine
Volume7
DOIs
Publication statusPublished - 28 Jan 2021

Bibliographical note

Publisher Copyright:
© Copyright © 2021 Grewal, Harjo, Aykut, Ergin, Nowitzky, Ince and Akin.

Research programs

  • EMC COEUR-09

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