TY - JOUR T1 - Massive pulmonary embolism following recovery from COVID-19 infection: inflammation, thrombosis and the role of extended thromboprophylaxis JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-238168 VL - 13 IS - 9 SP - e238168 AU - Prakash Vadukul AU - Deepak S Sharma AU - Paul Vincent Y1 - 2020/09/01 UR - http://casereports.bmj.com/content/13/9/e238168.abstract N2 - COVID-19 is the infectious disease caused by a recently discovered SARS-CoV-2. Following an initial outbreak in December 2019 in Wuhan, China, the virus has spread globally culminating in the WHO declaring a pandemic on 11 March 2020. We present the case of a patient with an initial presentation of COVID-19 pneumonitis requiring mechanical ventilation for nearly 2 weeks and total admission time of 3 weeks. She was given prophylactic dose anticoagulation according to hospital protocol during this time. Following a week at home, she was readmitted with acute massive pulmonary embolism with severe respiratory and cardiac failure, representing the first such case in the literature. ER -