PATIENT 3
A 71-year old patient was transferred to our institution for cerebral
vascular ischemia. During the hospitalization was diagnosed of COVID-19
on the basis of typical clinical and chest x-ray findings
(nasopharyngeal swabs were negative). Two days after his admission a
surge in D-dimer levels was noted (>2200 ng/ml) and, to
rule out pulmonary embolism, a CT was performed: imaging was negative
for pulmonary embolism but demonstrated a hypodense lesion in the left
ventricle indicative of thrombus (confirmed echocardiographically) and a
hypodense, infarctual area in the splenic parenchyma (Figure 3). These
findings were not detectable in a previous follow-up CT performed in
January 2020.