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{
    "pk": 880,
    "title": "COVID-19 and Pulmonary Emboli: A Case Series and Literature Review",
    "subtitle": null,
    "abstract": "Introduction:\n There is recent evidence that coronavirus disease 2019 (COVID-19) infection results in a prothrombotic state that may increase the risk of venous thromboembolism. Both COVID-19 infection and pulmonary emboli can present with dyspnoea, tachypnoea, hypoxaemia and an elevated D-dimer. Identifying a pulmonary embolus in a patient with COVID-19 and differentiating it from the typical clinical and biochemical features of COVID-19 is challenging.\nCase Reports:\n We report four cases, and reviewed two further cases in the literature, of a pulmonary embolus in patients who presented to the emergency department with COVID-19 and no other risk factor for a pulmonary embolus.\nConclusion:\n We identified a series of atypical features that should raise suspicion for a pulmonary embolus: pleuritic chest pain; haemoptysis; atrial fibrillation; tachycardia; hypotension; late onset deterioration; evidence of right heart strain; or a disproportionally elevated D-dimer in comparison to ferritin.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "pulmonary embolus"
        },
        {
            "word": "COVID-19"
        }
    ],
    "section": "Case Series",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0hj7b1dh",
    "frozenauthors": [
        {
            "first_name": "James",
            "middle_name": "",
            "last_name": "Greenan-Barrett",
            "name_suffix": "",
            "institution": "Royal Free Hospital, Department of Emergency Medicine, Hampstead, London, United Kingdom",
            "department": "None"
        },
        {
            "first_name": "Adrian",
            "middle_name": "",
            "last_name": "Perera",
            "name_suffix": "",
            "institution": "Royal Free Hospital, Department of Emergency Medicine, Hampstead, London, United Kingdom",
            "department": "None"
        }
    ],
    "date_submitted": "2020-07-17T03:24:26+08:00",
    "date_accepted": "2020-07-17T03:24:26+08:00",
    "date_published": "2020-07-17T03:25:48+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/880/galley/628/download/"
        }
    ]
}