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Priapism in a Patient with Coronavirus Disease 2019 (COVID-19)

Overview
Journal Am J Emerg Med
Specialty Emergency Medicine
Date 2020 Aug 1
PMID 32732087
Citations 24
Authors
Myriam Lamamri
Ala Chebbi
Jordan Mamane
Sofia Abbad
Milena Munuzzolini
Florence Sarfati
Stephane Legriel
Affiliations
Soon will be listed here.
Abstract

Thromboembolic complications related to SARS-CoV-2 have been extensively reported. They include deep vein thrombosis, pulmonary embolism, ischemic stroke, and acute coronary syndrome. Penile thrombosis has not been reported as a thrombotic complication of SARS-CoV-2 infection with hypercoagulability. Here we describe a case of priapism as a thromboembolic complication in a patient with COVID-19 who recovered from acute respiratory distress syndrome (ARDS). We discuss the underlying pathophysiological mechanisms mainly related to an hypercoagulability state. Emergency management consisted on an intracavernosal injection of the sympathomimetic agent ethylephrine and cavernosal blood aspiration. The patient experienced no recurrences under thromboprophylaxis by enoxaparin 40 mg twice daily.

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