{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:40:02Z","timestamp":1756366802816,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,9,6]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>We are reporting a middle-aged male patient with polycythaemia vera comorbidity. The patient was exhibiting symptoms including fever, cough and shortness of breath and was found to have acute pulmonary embolism. He was diagnosed with SARS-CoV-2. This case suggests that a high index of suspicion should be taken into consideration for thromboembolic events, when treating patients with COVID-19 with breathing difficulty and low oxygen saturation levels, especially in those who have underlying predisposing conditions for coagulopathy.<\/jats:p>","DOI":"10.1136\/bcr-2020-237390","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T17:50:50Z","timestamp":1600451450000},"page":"e237390","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Case of COVID-19 infection and polycythaemia presenting with massive acute pulmonary embolism"],"prefix":"10.1136","volume":"13","author":[{"given":"Asadullah","family":"Nawazani","sequence":"first","affiliation":[{"name":"Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud","family":"Ghanaim","sequence":"additional","affiliation":[{"name":"Emergency Department, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadia","family":"Tariq","sequence":"additional","affiliation":[{"name":"Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,9,18]]},"reference":[{"key":"2025082800153148000_13.9.e237390.1","doi-asserted-by":"crossref","unstructured":"Ng M-Y , Lee EYP , Yang J . Imaging profile of the COVID-19Infection: radiologic findings and literature review. Radiology Cardiothoracic Imaging 2020;2.","DOI":"10.1148\/ryct.2020200034"},{"key":"2025082800153148000_13.9.e237390.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2011.09.008"},{"key":"2025082800153148000_13.9.e237390.3","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(92)90002-5"},{"key":"2025082800153148000_13.9.e237390.4","doi-asserted-by":"publisher","DOI":"10.1161\/01.ATV.0000156877.94472.a5"},{"key":"2025082800153148000_13.9.e237390.5","doi-asserted-by":"crossref","DOI":"10.3390\/biom10020331","article-title":"Rigidity of the outer shell predicted by a protein intrinsic disorder model sheds light on the COVID-19 (Wuhan-2019-nCoV) infectivity","volume":"10","author":"Goh","year":"2020","journal-title":"Biomolecules"},{"key":"2025082800153148000_13.9.e237390.6","doi-asserted-by":"crossref","unstructured":"Wu Z , McGoogan JM . Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA 2020.doi:10.1001\/jama.2020.2648","DOI":"10.1001\/jama.2020.2648"},{"key":"2025082800153148000_13.9.e237390.7","unstructured":"WHO . WHO way of definition, a symptomatic COVID-19 case is a case who has developed signs and symptoms. Data as reported by national authorities by 10:00 CET 2 April 2020; 2020."},{"key":"2025082800153148000_13.9.e237390.8","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-385885-6.00009-2"},{"key":"2025082800153148000_13.9.e237390.9","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14768"},{"key":"2025082800153148000_13.9.e237390.10","unstructured":"Masters PS , Perlman S . Coronaviridae. In: Knipe DM , Howley PM , eds. Fields virology. 6th. Lippincott Williams & Wilkins, Google Scholar, 2013: 825\u201358."},{"key":"2025082800153148000_13.9.e237390.11","unstructured":"Guan W-jie , Ni Z-yi , Hu Y , et al . Clinical characteristics of 2019 novel coronavirus infection in China. MedRxiv 2020."},{"key":"2025082800153148000_13.9.e237390.12","doi-asserted-by":"publisher","DOI":"10.1111\/jth.14817"},{"key":"2025082800153148000_13.9.e237390.13","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/s11739-010-0369-6","article-title":"Angelo Porfidia & Leonardo Di Gennaro, Polycythemia vera","volume":"5","author":"Landolfi","year":"2010","journal-title":"Internal and Emergency Medicine"},{"key":"2025082800153148000_13.9.e237390.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.05.071"},{"key":"2025082800153148000_13.9.e237390.15","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00088711"},{"key":"2025082800153148000_13.9.e237390.16","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2272011139"},{"key":"2025082800153148000_13.9.e237390.17","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.199"},{"key":"2025082800153148000_13.9.e237390.18","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200506-862OC"},{"key":"2025082800153148000_13.9.e237390.19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1302097"},{"key":"2025082800153148000_13.9.e237390.20","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01647-2019","article-title":"2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European respiratory Society (ERS): the task force for the diagnosis and management of acute pulmonary embolism of the European Society of cardiology (ESC)","volume":"54","author":"Konstantinides","year":"2019","journal-title":"Eur Respir J"},{"key":"2025082800153148000_13.9.e237390.21","doi-asserted-by":"publisher","DOI":"10.1016\/1040-8428(94)00164-O"},{"key":"2025082800153148000_13.9.e237390.22","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.31.8436"},{"key":"2025082800153148000_13.9.e237390.23","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2018.78.8034"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:15:45Z","timestamp":1756365345000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":23,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,9,18]]},"published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1136\/bcr-2020-237390"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237390","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}