Care of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection mainly involves patients with respiratory symptoms, although other manifestations less related to this pathogen and those due to the cardiovascular and pulmonary sequelae it produces are also seen.
We present the images of a 78-year-old woman with pain and skin discolouration in the left foot (Figs. 1 and 2) after her discharge from hospital due to SARS-CoV-2 respiratory infection, with no significant history of smoking, peripheral arterial ischaemia, hypercholesterolaemia or arrhythmias. On examination she had necrosis of the toes. An electrocardiogram was performed, ruling out atrial fibrillation. She was then hospitalised, during which a computed tomography angiography of the lower limbs was performed, showing no arterial circulation abnormalities.
Acute ischaemia in the absence of atherosclerosis, atrial fibrillation or clotting disorders is reported in a post-acute SARS-CoV-2 infection phase.
Coagulation disorders have been reported in these cases (increased d-dimer, fibrin, fibrinogen degradation products and reduced antithrombin, prothrombin activity and thrombin time), which together with the systemic inflammatory response can lead to these phenomena, knowledge of which will help to specify treatment and prophylaxis protocols.
Please cite this article as: Quero Espinosa FB, Jiménez Aguilar ÁM, Montero-Pérez FJ. Isquemia arterial aguda secundaria a infección por SARS-CoV-2. Med Clin (Barc). 2021;157:266.
