case_images: PMC9769072_01
case_images: Trendline of the platelet and D-dimer levels. The black line (missed date) is drawn to keep the integrity of the chart. VITT=vaccine induced thrombotic thrombocytopenia; PF4= platelet factor 4; BVS= bypass vascular surgery; NHA= none-Heparin anticoagulants; IVIG= intravenous immunoglobin, CCU= cardiac care unit.
case_images: acc-09-04-150-g001.jpg
case_images: PMC9769072_01_acc-09-04-150-g001.jpg
case_images: f1
case_images: Her initial laboratorial findings revealed a normocytic normochromic red blood cell (hemoglobin=12.9 mg/dl, MCV=87 FL), leukocytosis (white blood count=17.1x109/L), and thrombocytopenia (platelet=67.5x109/L) (Figure 1). CT-Angiography revealed submassive emboli in the pulmonary artery extended to the left and right main branchial (Figure 1). Of note, during the episode of PTE, she had normal levels of platelet (Figure 1) and an ELISA essay for anti-PD4 was negative.