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.

Papi, C., Spagni, G., Alexandre, A., Calabresi, P., Della Marca, G., Broccolini, A., Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection, <<JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES>>, 2020; 29 (9): N/A-N/A. [doi:10.1016/j.jstrokecerebrovasdis.2020.104981] [http://hdl.handle.net/10807/165996]

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

Papi, Claudia;Spagni, Gregorio;Alexandre, Andrea;Calabresi, Paolo;Della Marca, Giacomo;Broccolini, Aldobrando
2020

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.
2020
Inglese
Papi, C., Spagni, G., Alexandre, A., Calabresi, P., Della Marca, G., Broccolini, A., Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection, <<JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES>>, 2020; 29 (9): N/A-N/A. [doi:10.1016/j.jstrokecerebrovasdis.2020.104981] [http://hdl.handle.net/10807/165996]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/165996
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