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, C.;Spagni, G.;Alexandre, A.;Calabresi, P.;Della Marca, G.;Broccolini, A.
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.
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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