Background:
COVID-19 is a leading cause of morbidity and mortality worldwide. Apart
from the respiratory complications which are responsible for most of the
deaths, several serious complications have been reported including
compressive emphysema or acute pancreatitis. COVID-19 can also induce a
hypercoagulable state, at the origin of venous and arterial
thromboembolic events. This hypercoagulability is associated with high
morbidity and mortality [1,2]. The literature mainly describes
venous thromboembolic events and pulmonary embolisms [3,4]. Arterial
thrombosis during COVID-19 is poorly described compared to venous
thrombosis. According to literature, it can occur with a prevalence of
0.13% in a hospitalized patient who tested positive for COVID-19 and
0.19% in patients who tested negative [5]. We report a case of an
extensive arterial thrombosis with extremely high D-dimer level that
resulted in a lower limb ischemia in a COVID-19 patient.