این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Tanaffos، جلد ۲۰، شماره ۲، صفحات ۱۸۰-۱۸۳
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عنوان انگلیسی A Severe Case of Bilateral COVID-19 Pneumonia with Concurrent Ischemic Stroke and Myocardial Infarction
چکیده انگلیسی مقاله Looking at the recent data provided in literature, we can see an association between cardiovascular and cerebrovascular accidents in COVID-19 thought to be related to severe inflammation and prothrombotic environment caused by the virus. This article reports a patient presenting with typical signs and symptoms of SARS-CoV-2 infection including flu like symptoms and respiratory distress. Initially a chest CT was performed that showed characteristic findings of atypical pneumonia caused by SARS-CoV-2 virus which was later confirmed with a nasopharyngeal PCR positive for COVID-19. During the course of admission patient developed unstable angina. Further testing confirmed an acute ST elevation myocardial infarction. While on anticoagulant treatment, patient showed signs of cerebrovascular accident. An emergency brain CT was ordered which did not yield any significant changes supporting our clinical diagnosis. Further diagnostic workup using magnetic resonance imaging disclosed evidence of cerebral ischemia in medial cerebral artery territory. Our study suggests that prophylactic anticoagulant regiment is not reassuring in COVID-19 patients and close observation and vigilance, can help clinicians to act timely and can improve patient survival.
کلیدواژه‌های انگلیسی مقاله COVID-19,Acute Myocardial Infarction,Stroke,Multiple Infarcts
نویسندگان مقاله Neda Shafiezadeh |
Department of Internal Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Reza Ibrahimi |
Department of Internal Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Mahnaz Mozdourian |
Lung Diseases Research Center, Mashhad University of Medical Science, Mashhad, Iran

نشانی اینترنتی https://www.tanaffosjournal.ir/article_248079_48e22a8a2c359086d6ace317f21d6f5f.pdf
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