Cerebral Venous Infarct After Recovery From COVID-19 Pneumonia.

Autor:	Alfahhad MF; College of Medicine, King Abdulaziz University, Jeddah, SAU., Alghamdi SS; College of Medicine, Al-Baha University, Al-Baha, SAU., Alzahrani OA; College of Medicine, Al-Baha University, Al-Baha, SAU., Aldakhil SK; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU., Algarni AA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU., Juraybi IA; College of Medicine, Jazan University, Jazan, SAU., Alsalmi TM; College of Medicine, Taif University, Taif, SAU., Alsulaihebi AS; College of Medicine, Umm Al-Qura University, Mecca, SAU., Yousef MK; College of Medicine, King Abdulaziz University, Jeddah, SAU., Almuhaisen AS; College of Medicine, King Faisal University, Al-Ahsa, SAU., Alfawzan HM; College of Medicine, King Saud Bin Abdulaziz University For Health Sciences, Riyadh, SAU., Alsalehi FM; College of Medicine, Dammam Medical Complex, Dammam, SAU., Alsaeed RN; College of Medicine, Alfaisal University, Riyadh, SAU., Alharthi HH; College of Medicine, Umm Al-Qura University, Mecca, SAU., Al-Hawaj F; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Nov 20; Vol. 13 (11), pp. e19763. Date of Electronic Publication: 2021 Nov 20 (Print Publication: 2021).
DOI:	10.7759/cureus.19763
Abstrakt:	The coronavirus disease 2019 (COVID-19) may have multisystem organ involvement. Thrombotic events are well-recognized complications of COVID-19. Such complications may include the pulmonary, renal, and other organs vasculature. The risk of coagulopathy is usually related to the severity of COVID-19 pneumonia. Few cases suggested that the coagulopathy risk may persist for some period after the recovery from COVID-19. We report the case of a middle-aged man with severe COVID-19 pneumonia that required seven days of endotracheal intubation and mechanical ventilation who presented with headache and left-sided weakness that occurred three days after his discharge. A computed tomography scan was performed to rule out intracranial hemorrhage before initiating the thrombolytic therapy. The scan demonstrated hemorrhage in the right temporal lobe with surrounding vasogenic edema along with density in the right transverse sinus. Subsequently, computed tomography venography was performed and demonstrated the filling defect representing right sigmoid venous sinus thrombosis. The patient received conservative measures in the form of intravenous hydration, anticoagulation, analgesics, and anticonvulsants. During the hospital stay, the patient had improvement in his symptom and mild neurological deficit persisted. The case highlighted that risk of thrombotic complications in COVID-19 pneumonia may persist for some period after the recovery from the disease. Hence, thromboprophylaxis may be indicated in selected patients with a risk of thrombotic events after their recovery from severe COVID-19. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Alfahhad et al.)
Databáze:	MEDLINE
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