tetano
Editor, Senior Moderator
Radiol Case Rep
. 2023 Mar 12;18(5):1913-1917.
doi: 10.1016/j.radcr.2023.02.022. eCollection 2023 May.
Long COVID? Fatal case report of ischemic stroke and pulmonary embolism post COVID-19 infection
Abid M Sadiq[SUP] 1 2 [/SUP], Zamina R Hassanali[SUP] 1 [/SUP], Eliada B Nziku[SUP] 2 [/SUP], Adnan M Sadiq[SUP] 2 3 [/SUP], Marieke C J Dekker[SUP] 1 2 [/SUP]
Affiliations
Abstract
Coronavirus disease 19 (COVID-19) may lead to post-COVID syndrome a few weeks to months after the infection with various symptoms. Post-COVID thromboembolic syndrome may be a result of coagulopathy that occurs in both the arterial and venous circulation. Apart from direct cellular infection, post-COVID syndrome may occur due to immune system dysregulation, endothelial injury, and hypercoagulability, leading to thrombosis. We present a 32-year-old man who was diagnosed with mild symptoms of COVID-19 infection 4 months before an acute ischemic stroke and an asymptomatic pulmonary embolism. A COVID-19 antigen test was negative. An analysis of prothrombotic factors was negative. He could not receive any therapeutic intervention before his demise. The extent of COVID-19 infection after the onset of symptoms is a mystery and poses a fatal concern due to the increasing number of complications. The long-term complications after COVID-19 infection are still not understood. Clinicians need to be aware of any signs and symptoms that may arise months after COVID-19 infection and its possible causal relationship.
Keywords: COVID-19; Ischemic stroke; Pulmonary embolism; SARS-CoV-2; Tanzania; Thromboembolism.
. 2023 Mar 12;18(5):1913-1917.
doi: 10.1016/j.radcr.2023.02.022. eCollection 2023 May.
Long COVID? Fatal case report of ischemic stroke and pulmonary embolism post COVID-19 infection
Abid M Sadiq[SUP] 1 2 [/SUP], Zamina R Hassanali[SUP] 1 [/SUP], Eliada B Nziku[SUP] 2 [/SUP], Adnan M Sadiq[SUP] 2 3 [/SUP], Marieke C J Dekker[SUP] 1 2 [/SUP]
Affiliations
- PMID: 36936802
- PMCID: PMC10008181
- DOI: 10.1016/j.radcr.2023.02.022
Abstract
Coronavirus disease 19 (COVID-19) may lead to post-COVID syndrome a few weeks to months after the infection with various symptoms. Post-COVID thromboembolic syndrome may be a result of coagulopathy that occurs in both the arterial and venous circulation. Apart from direct cellular infection, post-COVID syndrome may occur due to immune system dysregulation, endothelial injury, and hypercoagulability, leading to thrombosis. We present a 32-year-old man who was diagnosed with mild symptoms of COVID-19 infection 4 months before an acute ischemic stroke and an asymptomatic pulmonary embolism. A COVID-19 antigen test was negative. An analysis of prothrombotic factors was negative. He could not receive any therapeutic intervention before his demise. The extent of COVID-19 infection after the onset of symptoms is a mystery and poses a fatal concern due to the increasing number of complications. The long-term complications after COVID-19 infection are still not understood. Clinicians need to be aware of any signs and symptoms that may arise months after COVID-19 infection and its possible causal relationship.
Keywords: COVID-19; Ischemic stroke; Pulmonary embolism; SARS-CoV-2; Tanzania; Thromboembolism.
