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A 60-year-old man exhibited lack of efficacy following treatment with enoxaparin sodium, aspirin and heparin for multisystem thromboembolic disease [not all routes and dosages stated]. The man, who had asthma, uncontrolled diabetes mellitus and two prior cardiac stents, presented to the emergency department with flu-like symptoms and right knee pain for last 2 weeks. He complained of worsening right lower extremity (RLE) pain and numbness. On examination, his RLE was cold and mottled with no sensory or motor function extending to the thigh. CT angiogram demonstrated thromboembolic occlusion in the upper pole of right kidney, right superior and inferior gluteal arteries, right common femoral artery, bilateral profunda arteries, left internal iliac artery and bilateral popliteal arteries with no re-constitution on the right and only proximal anterior tibial reconstitution on the left, without runoffto the foot. He had diabetic ketoacidosis and COVID pneumonia due to Delta variant of COVID-19. He was diagnosed with multisystem thromboembolic disease with critical limb ischaemia. He received enoxaparin sodium [Lovenox] in the emergency department. Later, he was transferred to the ICU a

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Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)