与 HIV 和 SARS-COV-2 合并感染相关的缺血性脑卒中：一例报告。
Ischemic stroke related to HIV and SARS-COV-2 co-infection: a case report.
机构信息
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, AM, Brasil.
Fundação Centro de Controle de Oncologia do Estado do Amazonas, Manaus, AM, Brasil.
出版信息
Rev Soc Bras Med Trop. 2020 Nov 25;53:e20200692. doi: 10.1590/0037-8682-0692-2020. eCollection 2020.
A 56-year-old male with human immunodeficiency virus required hospitalization due to the onset of both dyspnea and asthenia. A computed tomography of the chest exam showed the radiological pattern of coronavirus SARS-CoV-2 pulmonary involvement. Based on immunochromatographic analysis, the patient evolved as a reagent for immunoglobulin M (IgM) and immunoglobulin G (IgG) anti-SARS-CoV-2 antibodies. The individual developed complete hemiparesis with a predominance in the right arm and conduction aphasia. T1-weighted magnetic resonance sequence of the brain showed an area of hypointensity with a high intrinsic cortical signal and hyperintensity in the T2-sequence. A Doppler velocimetric examination showed total/critical sub occlusion, suggesting an ischemic stroke.
一位 56 岁男性，患有人类免疫缺陷病毒，因出现呼吸困难和乏力而住院。胸部计算机断层扫描显示出冠状病毒 SARS-CoV-2 肺部受累的放射学模式。基于免疫层析分析，患者的免疫球蛋白 M（IgM）和免疫球蛋白 G（IgG）抗 SARS-CoV-2 抗体呈试剂阳性。该个体出现完全偏瘫，右侧手臂为主，并伴有传导性失语。大脑 T1 加权磁共振序列显示出一个低信号强度区域，具有高固有皮质信号和 T2 序列的高信号强度。多普勒速度测定检查显示总/临界次闭塞，提示缺血性脑卒中。
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