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Hypercoagulopathy in Overweight and Obese COVID-19 Patients: A Single-Center Case Series Cover

Figures & Tables

Fig. 1

C.T. Scan: Abdomen and Pelvis without contrast on Day 21 of admission.
C.T. Scan: Abdomen and Pelvis without contrast on Day 21 of admission.

Fig. 2

Significant events of all patients during hospital stay from day 1 of admission.
Significant events of all patients during hospital stay from day 1 of admission.

Demographic, baseline, and laboratory characteristics of patients at hospital admission_

Patient 1Patient 2Patient 3Patient 4Patient 5
Demographic and baseline characteristics
Age, years6862416496
GenderMaleMaleFemaleFemaleMale
BMI (kg/m2)31.828.230.1835.3428.74
The severity of COVID-19 at admissionNegativeMildModerateModerateMild
Previous illnessesHTN, D.M., and CHFDMAsthmaHTN, hypothyroid- ism, breast cancerHTN, COPD, CAD, D.M., HLD

Anti-thrombotic use at baseline
AnticoagulantsNoNoNoNoYes
Anti-platelet drugsNoNoNoYesNo
Time from symptom onset to start of treatment (days)13 days2 days14 days5 days1 day
SymptomsExertional dyspnoea and orthopnoeaFever, cough, and fatigueShortness of breath and pro- ductive coughShortness of breath and tachypneaFunctional decline

Vital signs on Day 1 of admission
Temperature (°F)98.7102.4 (fever)98.698.897.9
Respiratory rate (breaths per min)1720241820
Oxygen saturation on room air98%97%89%97%100%
Blood pressure (mm Hg)109/77144/8896/65138/66148/88
Heart rate (beats per min)95691037676

Laboratory findings on Day 1 ofadmission
White blood cell count (x109 cells per L)10.955.136.37.987.1
Lymphocyte count (109 cells per L)1.551.090.60.440.73
Neutrophil count (109 cells per L)8.523.655.46.745.23
The neutrophil-to-lympho- cyte ratio (NLR)5.493.35915.327.16
Haemoglobin (g/L)9.712.511.913.314.9
Platelet count (109 per L)246 (Mini-119 (Mini-301 (Minimum:212 (Minimum: 82)238 (Minimum:
mum: 174)mum: 68)41) 203)
Creatinine (mg/dL)1.71.00.80.71.5
C-reactive protein (mg/dL)3.4 (Peak: 9.8)2.7 (Peak: 9)15.2 (Peak: 162.3 (Peak: 16)7.5 (Peak: 10.44)
ESR (mm/hr)2320785013
LDH (U/L)174 (Peak:319 (Peak:406 (Peak:261 (Peak: 666)209 (Peak: 340)
519)498)1316.6)
Ferritin (ng/mL)214.9 (Peak:234.9 (Peak:338.1 (Peak:183.2 (Peak: 218.2)60 (Peak: 123.5)
455.9)1506.5)1506.5)
D-dimer (ng/mL)268 (Peak:367 (Peak:2506 (Peak:306 (Peak: 878)708 (Peak: 3480)
4201)4081)5199)
Procalcitonin (ng/mL)0.2NA0.20.610.26
DOI: https://doi.org/10.2478/jccm-2021-0032 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 41 - 48
Submitted on: Apr 24, 2021
Accepted on: Aug 7, 2021
Published on: Nov 13, 2021
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Azza Sarfraz, Zouina Sarfraz, Aman Siddiqui, Ali Totonchian, Syed Hashim Abbas Ali Bokhari, Hafiza Hussain, Muzna Sarfraz, Gaurav Patel, Muhammad Hassaan Amjad, Sameer Saleem Tebha, Ivan Cherrez-Ojeda, Patrick Dreyer, Harshad Amin, Jack Michel, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.