Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.
Identifieur interne : 000608 ( Main/Corpus ); précédent : 000607; suivant : 000609Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.
Auteurs : Claudia Papi ; Gregorio Spagni ; Andrea Alexandre ; Paolo Calabresi ; Giacomo Della Marca ; Aldobrando BroccoliniSource :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [ 1532-8511 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (isolation & purification), Clinical Laboratory Techniques (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (transmission), Coronavirus Infections (virology), Delayed Diagnosis (MeSH), Fatal Outcome (MeSH), Female (MeSH), Humans (MeSH), Infarction, Middle Cerebral Artery (diagnosis), Infarction, Middle Cerebral Artery (physiopathology), Infarction, Middle Cerebral Artery (therapy), Infectious Disease Transmission, Patient-to-Professional (prevention & control), Nose (virology), Occupational Exposure (adverse effects), Pandemics (MeSH), Pharynx (virology), Pneumonia, Viral (diagnosis), Pneumonia, Viral (transmission), Pneumonia, Viral (virology), Predictive Value of Tests (MeSH), Risk Factors (MeSH), Severity of Illness Index (MeSH).
- MESH :
- adverse effects : Occupational Exposure.
- diagnosis : Coronavirus Infections, Infarction, Middle Cerebral Artery, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- physiopathology : Infarction, Middle Cerebral Artery.
- prevention & control : Infectious Disease Transmission, Patient-to-Professional.
- therapy : Infarction, Middle Cerebral Artery.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Coronavirus Infections, Nose, Pharynx, Pneumonia, Viral.
- Aged, Clinical Laboratory Techniques, Delayed Diagnosis, Fatal Outcome, Female, Humans, Pandemics, Predictive Value of Tests, Risk Factors, Severity of Illness Index.
Abstract
Coronavirus disease 19 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this scenario, managing acute medical conditions, such as stroke, requires a timely treatment together with proper strategies that minimize the risk of infection spreading to health care workers and other patients. We report the case of a 79-year-old woman, who was admitted for a wake-up stroke due to occlusion of the left middle cerebral artery. She was treated outside the COVID-19-dedicated track of the hospital because she had no concomitant signs or symptoms suggestive of SARS-CoV-2 infection nor recent contact with other infected individuals. Post-mortem nasal and pharyngeal swab was positive for SARS-CoV-2 infection. We propose that hyperacute stroke patients should be tested for SARS-CoV-2 infection at admission and then managed as having COVID-19 until cleared by a negative result. We are aware that such measure results in some delay of the acute treatment of stroke, which could be minimal using well-exercised containment protocols.
DOI: 10.1016/j.jstrokecerebrovasdis.2020.104981
PubMed: 32807416
PubMed Central: PMC7245230
Links to Exploration step
pubmed:32807416Le document en format XML
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<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
<term>Delayed Diagnosis (MeSH)</term>
<term>Fatal Outcome (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infarction, Middle Cerebral Artery (diagnosis)</term>
<term>Infarction, Middle Cerebral Artery (physiopathology)</term>
<term>Infarction, Middle Cerebral Artery (therapy)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Nose (virology)</term>
<term>Occupational Exposure (adverse effects)</term>
<term>Pandemics (MeSH)</term>
<term>Pharynx (virology)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
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<term>Infarction, Middle Cerebral Artery</term>
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<term>Pneumonia, Viral</term>
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<term>Clinical Laboratory Techniques</term>
<term>Delayed Diagnosis</term>
<term>Fatal Outcome</term>
<term>Female</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Coronavirus disease 19 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this scenario, managing acute medical conditions, such as stroke, requires a timely treatment together with proper strategies that minimize the risk of infection spreading to health care workers and other patients. We report the case of a 79-year-old woman, who was admitted for a wake-up stroke due to occlusion of the left middle cerebral artery. She was treated outside the COVID-19-dedicated track of the hospital because she had no concomitant signs or symptoms suggestive of SARS-CoV-2 infection nor recent contact with other infected individuals. Post-mortem nasal and pharyngeal swab was positive for SARS-CoV-2 infection. We propose that hyperacute stroke patients should be tested for SARS-CoV-2 infection at admission and then managed as having COVID-19 until cleared by a negative result. We are aware that such measure results in some delay of the acute treatment of stroke, which could be minimal using well-exercised containment protocols.</div>
</front>
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<Title>Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association</Title>
<ISOAbbreviation>J Stroke Cerebrovasc Dis</ISOAbbreviation>
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<ArticleTitle>Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.</ArticleTitle>
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<Abstract><AbstractText>Coronavirus disease 19 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this scenario, managing acute medical conditions, such as stroke, requires a timely treatment together with proper strategies that minimize the risk of infection spreading to health care workers and other patients. We report the case of a 79-year-old woman, who was admitted for a wake-up stroke due to occlusion of the left middle cerebral artery. She was treated outside the COVID-19-dedicated track of the hospital because she had no concomitant signs or symptoms suggestive of SARS-CoV-2 infection nor recent contact with other infected individuals. Post-mortem nasal and pharyngeal swab was positive for SARS-CoV-2 infection. We propose that hyperacute stroke patients should be tested for SARS-CoV-2 infection at admission and then managed as having COVID-19 until cleared by a negative result. We are aware that such measure results in some delay of the acute treatment of stroke, which could be minimal using well-exercised containment protocols.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<ForeName>Claudia</ForeName>
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<AffiliationInfo><Affiliation>Area Neuroscienze, UOC Neurologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Electronic address: aldobrando.broccolini@policlinicogemelli.it.</Affiliation>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType>
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<Month>05</Month>
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<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
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<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Sars-CoV-2</Keyword>
<Keyword MajorTopicYN="N">Stroke</Keyword>
<Keyword MajorTopicYN="N">severe acute respiratory syndrome coronavirus 2</Keyword>
<Keyword MajorTopicYN="N">stroke management</Keyword>
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<CoiStatement>Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement>
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