Bilateral upper extremity thrombosis associated with protein C deficiency in a COVID-19 patient; a case report

The coronavirus disease 2019 (COVID-19) or severe acute respiratory syndrome 2 (SARS-CoV-2) pandemic has affected different communities all over the world. A wide spectrum of complications been reported due to COVID-19 infection, among which a hypercoagulability state is one most significant. patient was 44-year-old obese woman with history diabetes, hypothyroidism, cigarette smoking and opium addiction, who had recently diagnosed COVID -19 undergone cardiac surgery right atrial thrombosis. also by bilateral upper extremity thrombosis 20 days after surgery. Protein C deficiency measuring serum levels she discharged from hospital apixaban instead warfarin protein c deficiency.