Philip Anil M, George Lina J, Saha Shubhashis, Sadanandan Sethu
Internal Medicine, Kuriakose Chavara Memorial Hospital, Nooranad, IND.
Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Cureus. 2024 Jul 31;16(7):e65837. doi: 10.7759/cureus.65837. eCollection 2024 Jul.
This case report presents a posterior circulation infarction in a previously healthy 39-year-old male, three months post-severe COVID-19. He presented with right-sided homonymous hemianopia and elevated inflammatory markers and D-dimer levels. Imaging revealed an acute left occipital infarct. Such post-COVID-19 posterior circulation strokes are rare. This report discusses the pathophysiology, optimal anticoagulation therapy for COVID-19-related thrombotic complications, and early predictor models. This case underscores the need to recognize thromboembolic events as potential late sequelae in severe COVID-19 cases.
本病例报告介绍了一名39岁既往健康男性,在感染重症COVID-19三个月后发生后循环梗死。他出现右侧同向性偏盲,炎症标志物及D-二聚体水平升高。影像学检查显示急性左枕叶梗死。这种COVID-19后循环卒中很罕见。本报告讨论了其病理生理学、针对COVID-19相关血栓并发症的最佳抗凝治疗以及早期预测模型。该病例强调了在重症COVID-19病例中需认识到血栓栓塞事件作为潜在晚期后遗症的必要性。