RT Journal Article SR Electronic 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 FD BMJ Publishing Group Ltd SP e238168 DO 10.1136/bcr-2020-238168 VO 13 IS 9 A1 Prakash Vadukul A1 Deepak S Sharma A1 Paul Vincent YR 2020 UL http://casereports.bmj.com/content/13/9/e238168.abstract AB 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.