Simultaneous renal infarction and splenic infarction as a possible initial manifestation of COVID‐19: A case report

Abstract

We recommend testing for SARS‐CoV‐2 in a patient with an unexplained thromboembolic event, even in the absence of fever or respiratory symptoms.

Post‐COVID‐19 splenic infarction in a patient with chronic atrial fibrillation: A case report

“…Although pulmonary embolism is the most common event associated with COVID-19, thrombotic events have also been recorded in other organs and systems such as abdominal visceral organs, including intestine, kidney, and spleen. 3,4 In addition, our patient had AF, which is one of the common predisposing factors for infarction of visceral organs such as kidney and spleen. Indeed, renal scarring in our patient could indicate a previous infarction of this organ due to AF.…”

“…Therefore, COVID‐19 may have contributed to the onset of SI in our patient by inducing immune system activation and inflammation (the elevated WBC count and CRP level) and consequently activating the coagulation system (increased D‐Dimer level). Although pulmonary embolism is the most common event associated with COVID‐19, thrombotic events have also been recorded in other organs and systems such as abdominal visceral organs, including intestine, kidney, and spleen 3,4 …”

“…However, these events have been observed in other organs, such as the abdominal visceral organs, with a lower frequency. 3,4 New clinical presentations related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are identified every day. The lack of previous experience with COVID-19 has resulted in uncertainty about the management of the complications.…”

“…The lungs are the most common site of these coagulopathic events in COVID‐19. However, these events have been observed in other organs, such as the abdominal visceral organs, with a lower frequency 3,4 . New clinical presentations related to severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection are identified every day.…”

Acute complete splenic infarction secondary to COVID-19 infection

“…It is difficult to determine the exact number of documented cases of splenic infarction in COVID-19. More cases are being documented, however, some of these cases are silent infarctions and many are multisystemic infarctions [20] , [21] , [22] . Our case is a symptomatic patient with an isolated complete splenic infarction secondary to arterial thrombosis.…”