A case report of clinical outcome of a COVID-19 patient presented by acute ischemic stroke
CHOWDHURY, D., Bhuiyan, S., DAS, B., Saha, A., Rahman, S., Haq, M. (2021). A case report of clinical outcome of a COVID-19 patient presented by acute ischemic stroke. EKB Journal Management System, 2(3), 392-399. doi: 10.21608/mid.2020.49170.1086
DR MD REAZ UDDIN CHOWDHURY; Sahedul Bhuiyan; BIMAL CHANDRA DAS; Ashim Kumar Saha; Sohel Rahman; MD. Nazmul Haq. "A case report of clinical outcome of a COVID-19 patient presented by acute ischemic stroke". EKB Journal Management System, 2, 3, 2021, 392-399. doi: 10.21608/mid.2020.49170.1086
CHOWDHURY, D., Bhuiyan, S., DAS, B., Saha, A., Rahman, S., Haq, M. (2021). 'A case report of clinical outcome of a COVID-19 patient presented by acute ischemic stroke', EKB Journal Management System, 2(3), pp. 392-399. doi: 10.21608/mid.2020.49170.1086
CHOWDHURY, D., Bhuiyan, S., DAS, B., Saha, A., Rahman, S., Haq, M. A case report of clinical outcome of a COVID-19 patient presented by acute ischemic stroke. EKB Journal Management System, 2021; 2(3): 392-399. doi: 10.21608/mid.2020.49170.1086

A case report of clinical outcome of a COVID-19 patient presented by acute ischemic stroke

Microbes and Infectious Diseases
Article 2, Volume 2, Issue 3, August 2021, Page 392-399  XML PDF (565.29 K)
Document Type: Short Reports (case reports)
DOI: 10.21608/mid.2020.49170.1086
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Authors
DR MD REAZ UDDIN CHOWDHURY email orcid 1; Sahedul Bhuiyan2; BIMAL CHANDRA DAS1; Ashim Kumar Saha1; Sohel Rahman3; MD. Nazmul Haq4
1Abdul Malek Ukil Medical College, Noakhali, Bangladesh
2Brahmanbaria Medical College, Brahmanbaria, Bangladesh
3Institute of Epidemiology Disease Control And Research, Dhaka, Bangladesh
4National Institute of Cardiovascular Diseases, Dhaka, Bangladesh
Abstract
Corona virus disease 2019(COVID-19) is a multisystem disease with many unusual presentation reported worldwide. Though it mostly involves the respiratory systems, it has also potential to invade neurological system. It can spread from respiratory systems to the central nervous system. Here we report a case of 70 years old female who was diagnosed as COVID-19 case by molecular diagnosis and admitted with the features of acute ischemic stroke and later developed severe pneumonia also. The lady has radiological evidence of acute ischemic stroke and severe pneumonia as well as elevated D-dimer, lymphopenia, raised erythrocyte sedimentation rate, high C reactive protein (CRP) and serum ferritin. She was managed symptomatically for both pneumonia and acute stroke. Our case emphasizes that cerebrovascular disease in COVID-19 may simultaneously develop, increased c reactive protein, serum ferritin and D-dimer may contribute to the hypercoagulability and in the formation of acute ischemia. Elderly patients with co-morbidities like hypertension, diabetes, vascular disease, dyslipidaemia may contribute to acute stroke in addition to coronavirus disease pathology
Keywords
COVID-19; Severe Pneumonia; Ischemic stroke; Thrombosis
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