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多发性腔隙性脑梗死作为新冠病毒病的首发表现

Multiple Lacunar Cerebral Infarcts as the Initial Presentation of COVID-19.

作者信息

Elshereye Amro, Erdinc Burak

机构信息

Internal Medicine, Brookdale University Hospital and Medical Center, Brooklyn, USA.

出版信息

Cureus. 2020 Aug 10;12(8):e9638. doi: 10.7759/cureus.9638.

DOI:10.7759/cureus.9638
PMID:32789103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7417318/
Abstract

Coronavirus Disease-19 (COVID-19) is a novel corona virus that started as an outbreak in the Hubei province of China in December 2019 and later became a pandemic affecting every continent on the planet. Patients with severe COVID-19 tend to develop acute thrombotic complications including myocardial infarction, pulmonary embolism, and ischemic stroke. We describe a case of a 75-year-old-female who presented with acute onset slurred speech and right sided facial droop. She was diagnosed with COVID-19 with acute ischemic stroke as the initial presentation. Stroke as the initial presentation of COVID-19 is rare and has not been described in the literature frequently. The purpose of this report is to raise awareness about this potential complication of COVID-19 as an initial presentation.

摘要

冠状病毒病19(COVID-19)是一种新型冠状病毒,于2019年12月在中国湖北省爆发,后来成为一场影响地球上各大洲的大流行病。重症COVID-19患者往往会出现急性血栓形成并发症,包括心肌梗死、肺栓塞和缺血性中风。我们描述了一例75岁女性病例,该患者出现急性起病的言语不清和右侧面部下垂。她被诊断为以急性缺血性中风为首发表现的COVID-19。中风作为COVID-19的首发表现很罕见,文献中也鲜有描述。本报告的目的是提高对COVID-19作为首发表现的这种潜在并发症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e5/7417318/d13c38d8c911/cureus-0012-00000009638-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e5/7417318/9b5bf996aa45/cureus-0012-00000009638-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e5/7417318/d13c38d8c911/cureus-0012-00000009638-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e5/7417318/9b5bf996aa45/cureus-0012-00000009638-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23e5/7417318/d13c38d8c911/cureus-0012-00000009638-i02.jpg

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本文引用的文献

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Thrombosis in Hospitalized Patients With COVID-19 in a New York City Health System.在纽约市医疗系统中 COVID-19 住院患者中的血栓形成。
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Acute Stroke Care in the Coronavirus Disease 2019 Pandemic.COVID-19 大流行期间的急性脑卒中护理。
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