Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.
Identifieur interne : 000095 ( Main/Exploration ); précédent : 000094; suivant : 000096Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.
Auteurs : Claudia Papi [Italie] ; Gregorio Spagni [Italie] ; Andrea Alexandre [Italie] ; Paolo Calabresi [Italie] ; Giacomo Della Marca [Italie] ; Aldobrando Broccolini [Italie]Source :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [ 1532-8511 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (isolement et purification), Exposition professionnelle (effets indésirables), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Infarctus du territoire de l'artère cérébrale moyenne (diagnostic), Infarctus du territoire de l'artère cérébrale moyenne (physiopathologie), Infarctus du territoire de l'artère cérébrale moyenne (thérapie), Infections à coronavirus (diagnostic), Infections à coronavirus (transmission), Infections à coronavirus (virologie), Issue fatale (MeSH), Nez (virologie), Pandémies (MeSH), Pharynx (virologie), Pneumopathie virale (diagnostic), Pneumopathie virale (transmission), Pneumopathie virale (virologie), Retard de diagnostic (MeSH), Sujet âgé (MeSH), Techniques de laboratoire clinique (MeSH), Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle), Valeur prédictive des tests (MeSH).
- MESH :
- diagnostic : Infarctus du territoire de l'artère cérébrale moyenne, Infections à coronavirus, Pneumopathie virale.
- effets indésirables : Exposition professionnelle.
- isolement et purification : Betacoronavirus.
- physiopathologie : Infarctus du territoire de l'artère cérébrale moyenne.
- prévention et contrôle : Transmission de maladie infectieuse du patient au professionnel de santé.
- thérapie : Infarctus du territoire de l'artère cérébrale moyenne.
- virologie : Infections à coronavirus, Nez, Pharynx, Pneumopathie virale.
- transmission : Facteurs de risque, Femelle, Humains, Indice de gravité de la maladie, Infections à coronavirus, Issue fatale, Pandémies, Pneumopathie virale, Retard de diagnostic, Sujet âgé, Techniques de laboratoire clinique, Valeur prédictive des tests.
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
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Betacoronavirus (isolation & purification)</term>
<term>Clinical Laboratory Techniques (MeSH)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
<term>Delayed Diagnosis (MeSH)</term>
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<term>Infarction, Middle Cerebral Artery (physiopathology)</term>
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<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
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<term>Infarctus du territoire de l'artère cérébrale moyenne (physiopathologie)</term>
<term>Infarctus du territoire de l'artère cérébrale moyenne (thérapie)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Issue fatale (MeSH)</term>
<term>Nez (virologie)</term>
<term>Pandémies (MeSH)</term>
<term>Pharynx (virologie)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (virologie)</term>
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<term>Sujet âgé (MeSH)</term>
<term>Techniques de laboratoire clinique (MeSH)</term>
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<term>Pneumonia, Viral</term>
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<term>Nez</term>
<term>Pharynx</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term>
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<term>Pneumonia, Viral</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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<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>24</Day>
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<DateRevised><Year>2020</Year>
<Month>10</Month>
<Day>03</Day>
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<Issue>9</Issue>
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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>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Papi</LastName>
<ForeName>Claudia</ForeName>
<Initials>C</Initials>
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<Initials>A</Initials>
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<Author ValidYN="Y"><LastName>Broccolini</LastName>
<ForeName>Aldobrando</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Area Neuroscienze, UOC Neurologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. Electronic address: aldobrando.broccolini@policlinicogemelli.it.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>05</Month>
<Day>23</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Stroke Cerebrovasc Dis</MedlineTA>
<NlmUniqueID>9111633</NlmUniqueID>
<ISSNLinking>1052-3057</ISSNLinking>
</MedlineJournalInfo>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
<SupplMeshName Type="Protocol" UI="C000657964">COVID-19 diagnostic testing</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName>
<QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019411" MajorTopicYN="Y">Clinical Laboratory Techniques</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057210" MajorTopicYN="N">Delayed Diagnosis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017809" MajorTopicYN="N">Fatal Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020244" MajorTopicYN="N">Infarction, Middle Cerebral Artery</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017758" MajorTopicYN="N">Infectious Disease Transmission, Patient-to-Professional</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009666" MajorTopicYN="N">Nose</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016273" MajorTopicYN="N">Occupational Exposure</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010614" MajorTopicYN="N">Pharynx</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<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>
</KeywordList>
<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>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year>
<Month>05</Month>
<Day>04</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2020</Year>
<Month>05</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2020</Year>
<Month>05</Month>
<Day>16</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>8</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>8</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>8</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32807416</ArticleId>
<ArticleId IdType="pii">S1052-3057(20)30399-2</ArticleId>
<ArticleId IdType="doi">10.1016/j.jstrokecerebrovasdis.2020.104981</ArticleId>
<ArticleId IdType="pmc">PMC7245230</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Italie</li>
</country>
<region><li>Latium</li>
</region>
<settlement><li>Rome</li>
</settlement>
</list>
<tree><country name="Italie"><region name="Latium"><name sortKey="Papi, Claudia" sort="Papi, Claudia" uniqKey="Papi C" first="Claudia" last="Papi">Claudia Papi</name>
</region>
<name sortKey="Alexandre, Andrea" sort="Alexandre, Andrea" uniqKey="Alexandre A" first="Andrea" last="Alexandre">Andrea Alexandre</name>
<name sortKey="Broccolini, Aldobrando" sort="Broccolini, Aldobrando" uniqKey="Broccolini A" first="Aldobrando" last="Broccolini">Aldobrando Broccolini</name>
<name sortKey="Calabresi, Paolo" sort="Calabresi, Paolo" uniqKey="Calabresi P" first="Paolo" last="Calabresi">Paolo Calabresi</name>
<name sortKey="Della Marca, Giacomo" sort="Della Marca, Giacomo" uniqKey="Della Marca G" first="Giacomo" last="Della Marca">Giacomo Della Marca</name>
<name sortKey="Spagni, Gregorio" sort="Spagni, Gregorio" uniqKey="Spagni G" first="Gregorio" last="Spagni">Gregorio Spagni</name>
</country>
</tree>
</affiliations>
</record>
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