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RÉSUMÉ
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a complex, multi-facial disease that involves viral, inflammatory, and thrombotic phases. We report a picture of a pulmonary heart in a young overweight subject under combined estrogen-progestin contraception. Paraclinical examinations find parameters of overload of the right cavities and myocardial lesions responsible for troponin elevation, inflammatory syndrome, and severe hypoxemia. Computed tomography pulmonary angiogram showed a bilateral pulmonary embolism associated with COVID-19 pneumonia and deep femoral thrombosis on Doppler ultrasound of the limbs. SARS-CoV-2 infection was confirmed. The patient was then put on oxygen and adequate treatment leading to a favorable evolution. The management of acute cor pulmonale in COVID-19 is a challenge because it requires a multidisciplinary team.
ABSTRACT
L’infection à ‘’Severe acute respiratory syndrome coronavirus 2’’ (SARS-CoV-2) est une maladie complexe à plusieurs visages qui implique des phases virales, inflammatoires et thrombotiques. Nous rapportons le tableau de cœur pulmonaire chez un jeune sujet en surpoids sous contraception œstrogène-progestative. Les examens paracliniques trouvent des indices de surcharge des cavités droites et des lésions myocardiques responsables de l’élévation de la troponine, du syndrome inflammatoire et de l’hypoxémie sévère. L’angio-tomodensitométrie pulmonaire a montré une embolie pulmonaire bilatérale associée à une pneumonie de COVID-19 et à une thrombose fémorale profonde à l’échographie Doppler des membres. L’infection par le SRAS-CoV-2 a été confirmée. Le patient a ensuite été mis sous oxygène et un traitement adéquat conduisant à une évolution favorable. La prise en charge du cœur pulmonaire aigu dans la COVID-19 est un défi car elle nécessite une équipe multidisciplinaire.

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Diakité, M. ., Dembélé, J. P. ., Touré, M. ., Cissoko, Y. ., Dembélé, B. ., Sako, M. ., Poda, G. G., Coulibaly, S. ., Menta, I. ., & Dao, S. . (2022). Association of Acute Cor Pulmonale and COVID-19 in a Young Malian: a Case Report . HEALTH SCIENCES AND DISEASE, 23(5). https://doi.org/10.5281/hsd.v23i5.3646
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