Collateral damage of COVID-19: late presentation of cerebrovascular accident
Coronavirus disease 2019 (COVID-19) is associated with an increased risk of death due to the sequelae of inflammation and thrombosis. Patients infected with COVID-19 are at risk of ischemic stroke due to the effects of inflammatory cytokine storm, platelet activation, endothelial dysfunction and pro...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Association
2023
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| Online Access: | http://psasir.upm.edu.my/id/eprint/107055/ http://psasir.upm.edu.my/id/eprint/107055/1/Collateral%20damage%20of%20COVID-19_late%20presentation%20of%20cerebrovascular%20accident.pdf |
| _version_ | 1848864857789562880 |
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| author | Ismail, Hazwani Wan Zul Haikal Hafiz Md Pauzi, Ahmad Luqman Chao, Loh Wei Yin, Lau Su |
| author_facet | Ismail, Hazwani Wan Zul Haikal Hafiz Md Pauzi, Ahmad Luqman Chao, Loh Wei Yin, Lau Su |
| author_sort | Ismail, Hazwani |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Coronavirus disease 2019 (COVID-19) is associated with an increased risk of death due to the sequelae of inflammation and thrombosis. Patients infected with COVID-19 are at risk of ischemic stroke due to the effects of inflammatory cytokine storm, platelet activation, endothelial dysfunction and prolonged stasis. We report a case of severe COVID-19 infection who developed acute ischemic stroke during the course of his illness. The patient did not carry any traditional risk of stroke or thromboembolic event and was vaccinated. He tested positive for COVID-19 infection, but due to respiratory distress, he was intubated and ventilated. On the 11th day in intensive care unit, he was noted to be hemiplegic with poor neurological recovery. Despite being on treatment dose enoxaparin, his computed tomography confirmed a lacunar infarct in his brain and bilateral pulmonary embolisms. Twenty-five days later, he remained well and was discharged home with dabigatran and atorvastatin. |
| first_indexed | 2025-11-15T13:55:29Z |
| format | Article |
| id | upm-107055 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:55:29Z |
| publishDate | 2023 |
| publisher | Malaysian Medical Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1070552024-10-17T03:51:41Z http://psasir.upm.edu.my/id/eprint/107055/ Collateral damage of COVID-19: late presentation of cerebrovascular accident Ismail, Hazwani Wan Zul Haikal Hafiz Md Pauzi, Ahmad Luqman Chao, Loh Wei Yin, Lau Su Coronavirus disease 2019 (COVID-19) is associated with an increased risk of death due to the sequelae of inflammation and thrombosis. Patients infected with COVID-19 are at risk of ischemic stroke due to the effects of inflammatory cytokine storm, platelet activation, endothelial dysfunction and prolonged stasis. We report a case of severe COVID-19 infection who developed acute ischemic stroke during the course of his illness. The patient did not carry any traditional risk of stroke or thromboembolic event and was vaccinated. He tested positive for COVID-19 infection, but due to respiratory distress, he was intubated and ventilated. On the 11th day in intensive care unit, he was noted to be hemiplegic with poor neurological recovery. Despite being on treatment dose enoxaparin, his computed tomography confirmed a lacunar infarct in his brain and bilateral pulmonary embolisms. Twenty-five days later, he remained well and was discharged home with dabigatran and atorvastatin. Malaysian Medical Association 2023-04 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/107055/1/Collateral%20damage%20of%20COVID-19_late%20presentation%20of%20cerebrovascular%20accident.pdf Ismail, Hazwani and Wan Zul Haikal Hafiz and Md Pauzi, Ahmad Luqman and Chao, Loh Wei and Yin, Lau Su (2023) Collateral damage of COVID-19: late presentation of cerebrovascular accident. Medical Journal of Malaysia Case Reports Journal, 2 (1). 34 - 36. ISSN 2948-3859 https://mjmcasereports.org/articles/2023/v2n1/collateral-damage-of-COVID-19.pdf |
| spellingShingle | Ismail, Hazwani Wan Zul Haikal Hafiz Md Pauzi, Ahmad Luqman Chao, Loh Wei Yin, Lau Su Collateral damage of COVID-19: late presentation of cerebrovascular accident |
| title | Collateral damage of COVID-19: late presentation of cerebrovascular accident |
| title_full | Collateral damage of COVID-19: late presentation of cerebrovascular accident |
| title_fullStr | Collateral damage of COVID-19: late presentation of cerebrovascular accident |
| title_full_unstemmed | Collateral damage of COVID-19: late presentation of cerebrovascular accident |
| title_short | Collateral damage of COVID-19: late presentation of cerebrovascular accident |
| title_sort | collateral damage of covid-19: late presentation of cerebrovascular accident |
| url | http://psasir.upm.edu.my/id/eprint/107055/ http://psasir.upm.edu.my/id/eprint/107055/ http://psasir.upm.edu.my/id/eprint/107055/1/Collateral%20damage%20of%20COVID-19_late%20presentation%20of%20cerebrovascular%20accident.pdf |