Alprostadil associated with low molecular weight heparin to treat limb ischemia caused by SARS-CoV2
Alprostadil associado a heparina de baixo peso molecular para o tratamento da isquemia de membros causada por SARS-CoV2
Marcos Antonio Bonacorso Manhanelli Filho; Eliud Garcia Duarte Júnior; Jamil Victor de Oliveira Mariuba; Fábio Linardi; José Augusto Costa; Julio Cesar Gali; Winston Bonetti Yoshida; Julio Cesar Gali Filho
Abstract
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Resumo
Resumo: A atual pandemia de coronavírus já gerou danos profundos ao redor do mundo, causando grande quantidade de morbidades e mortes. Uma das manifestações das formas graves da doença é o estado trombofílico, que pode provocar danos em vários sistemas. Este artigo relata o caso de uma paciente do sexo feminino, 60 anos de idade, que foi internada em um serviço hospitalar privado com sintomas gripais inespecíficos leves, mas que progrediu com trombose arterial e isquemia de membros causada pelo SARS-CoV2. Devido à essa evolução, foi optada pela administração concomitante de heparina de baixo peso molecular e Alprostadil, com bom desfecho clínico. Nossa descrição objetiva identificar pontos-chave e sinais clínicos que evidenciem essa janela terapêutica, bem como uma opção de tratamento para as apresentações coagulatórias da COVID-19.
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References
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