Day 1 | A 72-year-old patient with a critical course of COVID-19 (severe acute respiratory syndrome coronavirus 2) infection admitted to the intensive care unit (ICU) for intubation, inotropes, and continuous veno-venous hemofiltration |
Day 21 | Extubation |
Day 23 | Re-intubation due to progressive respiratory insufficiency
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Day 24 | Physical examination: blue toe syndrome |
Day 25 | Computed tomography angiography vasculature lower extremities: occlusion of the right posterior tibial artery |
Day 30 | Dark blue toes/signs of toe necrosis |
Day 30 | Follow-up CT angiography: decrease of the aortic thrombus load |
Day 35 |
Weaning from mechanical ventilation Stop heparin therapy, start oral anticoagulants |
Day 45 | Intensive care unit acquired weakness and ongoing delirium |
Day 90 | Normal cognitive functions, substantial physical rehabilitation in progress |
Day 150 | Surgical surveillance and amputation of necrotic toes, general daily life activities independently |