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Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection.

Identifieur interne : 000095 ( Main/Exploration ); précédent : 000094; suivant : 000096

Unprotected 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 :

RBID : pubmed:32807416

Descripteurs français

English descriptors

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:


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Le document en format XML

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<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>
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<DescriptorName UI="D017809" MajorTopicYN="N">Fatal Outcome</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
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<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Sars-CoV-2</Keyword>
<Keyword MajorTopicYN="N">Stroke</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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<Year>2020</Year>
<Month>05</Month>
<Day>04</Day>
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<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>05</Month>
<Day>15</Day>
</PubMedPubDate>
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<Year>2020</Year>
<Month>05</Month>
<Day>16</Day>
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<Year>2020</Year>
<Month>8</Month>
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<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>
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<affiliations>
<list>
<country>
<li>Italie</li>
</country>
<region>
<li>Latium</li>
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<li>Rome</li>
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<country name="Italie">
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<name sortKey="Papi, Claudia" sort="Papi, Claudia" uniqKey="Papi C" first="Claudia" last="Papi">Claudia Papi</name>
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<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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