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Arterial Occlusion and Acute Limb Ischemia Induced Acute Deep Venous Thrombosis in COVID-19 Patients

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Coronavirus disease 2019 (COVID-19) is a viral respiratory tract infection that is responsible for various thrombotic events in major blood vessels in the human body, especially deep vein thrombosis (DVT) and pulmonary embolism. [1]. These thromboembolic events are thought to arise from an immune and pro-inflammatory response that results in the production of procoagulation factors that are responsible for vascular injury. Despite the predominant venous etiology, rare reports now implicate COVID-19 in adverse arterial events such as arterial thrombosis that can lead to acute limb ischemia (ALI). [1]. ALI is an emergent vascular event that results in decreased limb blood flow and subsequent tissue hypoperfusion [2]. This article was previously presented as a poster at Michigan State University State University Emergency Medicine Resident Case Report Poster Day on February 16, 2022, and at the Henry Ford Health Systems Medical Education Research Forum on April 1, 2021. A 69-year-old w