Duodenal Bleeding in a Patient with Covid-19-Related Acute Respiratory Distress Syndrome
vv ISSN: 2690-0807 DOI: https://dx.doi.org/10.17352/aggr MEDICAL GROUP Received: 18 July, 2020 Letter to Editor Accepted: 05 August, 2020 Published: 06 August, 2020 *Corresponding author: Maurizio Gabrielli, PhD, De- Duodenal bleeding in a patient partment of Emergency Medicine, Policlinico University Foundation A. Gemelli IRCCS, Catholic University of the Sacred Heart, Largo Gemelli 8, 00168, Rome, Italy, Tel: with Covid-19-Related Acute +39 06 30156627; E-mail: Respiratory Distress Syndrome Keywords: COVID-19; ARDS; Duodenal bleeding Maurizio Gabrielli*, Laura Franza, Maria Chiara Bungaro, https://www.peertechz.com Tommaso de Cunzo, Alessandra Esperide, Federico Valletta, Irene Gasparrini, Luca Santarelli, Alessio Migneco, Lorenzo Capaldi and Francesco Franceschi Department of Emergency Medicine, Policlinico University Foundation A. Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy Dear Editor, type II diabetes, and previous ischemic stroke. BMI was 31. He was discharged on March 21 from another hospital with High incidence of thrombotic complications was observed diagnosis of COVID-19-related pneumonia without respiratory in patients with Acute Respiratory Distress Syndrome (ARDS) failure. Home therapy consisted of atenolol, valsartan, related to Coronavirus Disease 2019 (COVID-19) [1]. The hydrochlorothiazide, pravastatin, ticlopidine. pathophysiology seems related to systemic thrombophilia by hyper-immune reaction, inducing a “cytokine storm” [1]. At arrival arterial blood gas analysis at a FIO2 of 0.5 showed: pH 7.51; PaCO2 27.1 mm Hg; PaO2 35.8 mm Hg Yet, gastrointestinal bleeding occurs in 2-3% of ARDS with a PaO2/FiO2 of 71.6; bicarbonate 27.1 mEq/l; lactate 2.8 patients. Splanchnic hypo-perfusion is a major cause, due to mmol/l, arterial O2 saturation 84%.
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