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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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
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author Motoie, Ryota
Akai, Masaya
Kitahara, Takahiro
Imamura, Hisaji
Tanabe, Takeshi
Sarazawa, Katsuhiko
Takano, Seiichiro
Toda, Hiroki
Komatsu, Kazuto
author_facet Motoie, Ryota
Akai, Masaya
Kitahara, Takahiro
Imamura, Hisaji
Tanabe, Takeshi
Sarazawa, Katsuhiko
Takano, Seiichiro
Toda, Hiroki
Komatsu, Kazuto
author_sort Motoie, Ryota
collection PubMed
description 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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spelling pubmed-76620652020-11-25 Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages Motoie, Ryota Akai, Masaya Kitahara, Takahiro Imamura, Hisaji Tanabe, Takeshi Sarazawa, Katsuhiko Takano, Seiichiro Toda, Hiroki Komatsu, Kazuto Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-09-05 2020-10-15 /pmc/articles/PMC7662065/ /pubmed/32893231 http://dx.doi.org/10.2169/internalmedicine.5697-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Motoie, Ryota
Akai, Masaya
Kitahara, Takahiro
Imamura, Hisaji
Tanabe, Takeshi
Sarazawa, Katsuhiko
Takano, Seiichiro
Toda, Hiroki
Komatsu, Kazuto
Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
title Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
title_full Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
title_fullStr Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
title_full_unstemmed Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
title_short Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
title_sort coronavirus disease 2019 complicated by multiple simultaneous intracerebral hemorrhages
topic Case Report
url 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
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