Elmir Siham, Jabi Rachid, Noumairi Mohammed, Gartit Mohammed, El Bekkaoui Mehdi, Skiker Imane, Housni Brahim, Bouziane Mohammed, El Oumri Ahmed Amine
Department of Physical Medicine and Rehabilitation, Faculty of Medicine and Pharmacy, Immunohematology/Cellular Therapy Laboratory Adults and Children(LIHTC), University Mohammed First Oujda, Morocco.
Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Laboratory of Anatomy, Microsurgery and Surgery Experimental and Medical Simulation (LAMCESM),Mohammed Ist University, Oujda, Morocco.
Ann Med Surg (Lond). 2021 Dec;72:103082. doi: 10.1016/j.amsu.2021.103082. Epub 2021 Dec 1.
The Covid 19 pandemia since the first reported case in 2019 had a direct socioeconomic impact related to morbi-mortality and indirect in response to protection and isolation strategies. To our knowledge thrombo-embolic complications can be a mode of revelation complicating the management.
We present an exceptional case of a patient with a history of Covid 19,admitted 21 days later for disturbed consciousness, in whom an ischemic occipital stroke ,intestinal and colonic ishemia had been objectified. Our objective through this presentation is to remind the thrombo-embolic particularity of Covid 19, to take the viral attack as a serious antecedent in the periods following theinfection and to put the point on the primordial place of early rehabilitation in patients with stroke.
We discuss through this report the recommendations of anticoagulation in Covid 19 patients and the place of early rehabilitation in patients with stroke. We also report a new case among the rare cases described in the literature that associates several thrombo-embolic manifestations secondary to Covid 19, in particular the neurological and digestive association.
自2019年首例报告病例以来,新冠疫情对社会经济产生了直接影响,涉及发病率和死亡率,同时也因防护和隔离策略产生了间接影响。据我们所知,血栓栓塞并发症可能是一种使治疗复杂化的表现形式。
我们呈现了一个特殊病例,该患者有新冠病史,21天后因意识障碍入院,经检查发现存在枕叶缺血性中风、肠道和结肠缺血。我们通过此病例介绍的目的是提醒人们注意新冠病毒的血栓栓塞特殊性,将病毒感染视为感染后一段时间内的严重病史,并强调中风患者早期康复的重要地位。
我们通过本报告讨论了新冠患者抗凝治疗的建议以及中风患者早期康复的地位。我们还报告了文献中罕见病例中的一个新病例,该病例伴有新冠病毒引发的多种血栓栓塞表现,特别是神经和消化系统的联合表现。