Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Fatal systemic capillary leak syndrome in a patient with a COVID-19 infection
Hiroaki KawanoMasataka UmedaTomohiro HondaRyosuke IwasakiShinji OkanoRyohei AkashiTomohiro KogaKoichi IzumikawaAtsushi KawakamiKoji Maemura
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 3637-24

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Abstract

A 29-year-old Japanese woman was admitted to our hospital with a fever, cardiogenic shock, and cardiac arrest. Laboratory data indicated multiple organ failure in addition to hemoconcentration, hypoalbuminemia, and myocardial damage. The coronary angiography findings were normal, and fulminant myocarditis was suspected. Venoarterial peripheral extracorporeal membrane oxygenation and an Impella CP left ventricular assist device were initiated, along with the administration of positive inotropic agents. However, hypovolemic shock and hypoalbuminemia progressed along with severe anemia, and the patient died 18 hours after admission. The patient was diagnosed with systemic capillary leak syndrome associated with COVID-19.

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© 2024 by The Japanese Society of Internal Medicine

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