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1例COVID-19患者罕见的脑血管意外表现:病例报告

A Rare Presentation of Cerebrovascular Accident in a COVID-19 Patient: A Case Report.

作者信息

Sattler Ross, Ekanayake Lakmal S, Richardson Amber

机构信息

Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, USA.

Internal Medicine, Springfield Regional Medical Center, Springfield, USA.

出版信息

Cureus. 2020 Dec 25;12(12):e12287. doi: 10.7759/cureus.12287.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a single-stranded, positive-sense, enveloped ribonucleic acid (RNA) virus. SARS-CoV-2 and its associated disease coronavirus disease 2019 (COVID-19) has caused a global pandemic in the year 2019-2020. COVID-19 has caused widespread death, economic burden, and overcrowding of hospitals. As of September 2020, there is no reliable pharmacological treatment for patients affected by COVID-19. Herein we present a case of a 41-year-old Caucasian female who presented to the emergency department with flu-like symptoms for the past five days. The patient was admitted for COVID-19 symptoms and subsequently developed COVID-19 associated thrombotic syndrome and ischemic stroke. Below, we discuss risk factors, pathology, and rare manifestations resulting from COVID-19 infection. COVID-19 primarily affects the lungs, but a review of the current literature shows limited cases of ischemic stroke and diffuse thrombosis induced by infection of the novel COVID-19 in relatively healthy individuals with minimal risk factors.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是一种单链、正链、包膜核糖核酸(RNA)病毒。SARS-CoV-2及其相关疾病冠状病毒病2019(COVID-19)在2019年至2020年期间引发了全球大流行。COVID-19导致了广泛的死亡、经济负担以及医院人满为患。截至2020年9月,对于感染COVID-19的患者尚无可靠的药物治疗方法。在此,我们报告一例41岁的白种女性病例,该患者在过去五天出现类似流感的症状后前往急诊科就诊。该患者因COVID-19症状入院,随后发展为COVID-19相关血栓形成综合征和缺血性中风。以下,我们将讨论COVID-19感染导致的危险因素、病理以及罕见表现。COVID-19主要影响肺部,但对当前文献的综述显示,在具有最小风险因素的相对健康个体中,由新型COVID-19感染引起的缺血性中风和弥漫性血栓形成的病例有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f794/7834551/4cf870079f37/cureus-0012-00000012287-i01.jpg

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