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    Date Issued2021 (1)AuthorCerny, Jan (1)Sahu, Kamal Kant (1)
    Shanahan, Lindsey (1)
    Vogt, Bennett E. (1)UMass Chan AffiliationDepartment of Medicine, Division of Hematology Oncology (1)School of Medicine (1)Document TypeJournal Article (1)KeywordCardiovascular Diseases (1)Hemic and Lymphatic Diseases (1)Infectious Disease (1)Pathological Conditions, Signs and Symptoms (1)Virus Diseases (1)View MoreJournalActa bio-medica : Atenei Parmensis (1)

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    A Splenic Infarction Related to Parainfluenza Infection in a Patient with AML: Lessons for COVID-19

    Sahu, Kamal Kant; Vogt, Bennett E.; Shanahan, Lindsey; Cerny, Jan (2021-09-02)
    Infection related thrombosis is a well-known entity. Antigen burden, immune response, complement activation, pro-coagulant condition, and smoking are only a few amongst the multiple risk factors which interplay in the development of thrombosis in any given case. Viral infections are amongst the many inciting factors known to predispose a prothrombotic state. We hereby report a known case of acute myelogenous leukemia, status post allogeneic stem cell trans-plantation who presented with two discrete episodes of sore throat and left upper quadrant pain. Infectious workup confirmed parainfluenza virus 3 on the first occasion, and rhinovirus infection on the second occasion. Computed tomography of the abdomen during both times suggested a splenic infarction. A comprehensive thrombotic workup was negative which suggested the diagnosis of viral infection-related splenic infarction. This case highlights the importance of caring for the potential eventualities of coagulopathy in cancer and other immunocompromised patients infected during the COVID-19 pandemic.
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