Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection

Paolo Calabresi, Giacomo Della Marca, Aldobrando Broccolini, Claudia Papi, Gregorio Spagni, Andrea Alexandre

Risultato della ricerca: Contributo in rivistaArticolo in rivista

4 Citazioni (Scopus)

Abstract

Coronavirus disease 19 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this scenario, managing acute medical conditions, such as stroke, requires a timely treatment together with proper strategies that minimize the risk of infection spreading to health care workers and other patients. We report the case of a 79-year-old woman, who was admitted for a wake-up stroke due to occlusion of the left middle cerebral artery. She was treated outside the COVID-19-dedicated track of the hospital because she had no concomitant signs or symptoms suggestive of SARS-CoV-2 infection nor recent contact with other infected individuals. Post-mortem nasal and pharyngeal swab was positive for SARS-CoV-2 infection. We propose that hyperacute stroke patients should be tested for SARS-CoV-2 infection at admission and then managed as having COVID-19 until cleared by a negative result. We are aware that such measure results in some delay of the acute treatment of stroke, which could be minimal using well-exercised containment protocols.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaJournal of Stroke and Cerebrovascular Diseases
Volume29
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • Aged
  • Betacoronavirus
  • COVID-19
  • COVID-19 Testing
  • Clinical Laboratory Techniques
  • Coronavirus Infections
  • Delayed Diagnosis
  • Fatal Outcome
  • Female
  • Humans
  • Infarction, Middle Cerebral Artery
  • Infectious Disease Transmission, Patient-to-Professional
  • Nose
  • Occupational Exposure
  • Pandemics
  • Pharynx
  • Pneumonia, Viral
  • Predictive Value of Tests
  • Risk Factors
  • SARS-CoV-2
  • Sars-CoV-2
  • Severity of Illness Index
  • Stroke
  • severe acute respiratory syndrome coronavirus 2
  • stroke management

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