Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages

The relationship between coronavirus disease 2019 (COVID-19) and intracerebral hemorrhage remains unclear. We herein report a case of severe COVID-19 pneumonia complicated by multiple simultaneous intracerebral hemorrhages (MSICH). The patient died eight days after the episode of MSICH. No apparent...

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Detalles Bibliográficos
Autores principales: Motoie, Ryota, Akai, Masaya, Kitahara, Takahiro, Imamura, Hisaji, Tanabe, Takeshi, Sarazawa, Katsuhiko, Takano, Seiichiro, Toda, Hiroki, Komatsu, Kazuto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662065/
https://www.ncbi.nlm.nih.gov/pubmed/32893231
http://dx.doi.org/10.2169/internalmedicine.5697-20
Descripción
Sumario:The relationship between coronavirus disease 2019 (COVID-19) and intracerebral hemorrhage remains unclear. We herein report a case of severe COVID-19 pneumonia complicated by multiple simultaneous intracerebral hemorrhages (MSICH). The patient died eight days after the episode of MSICH. No apparent coagulopathy was observed; however, extracorporeal membrane oxygenation and anticoagulation might have caused the occurrence of MSICH. Laboratory findings showed hypercoagulability, suggesting that thrombotic etiologies, such as sinus thrombosis or cerebral infarction, might also have caused MSICH. MSICH can occur as a fatal complication of COVID-19, and this should be considered when providing treatment.

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