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SARS-CoV-2, recurrent ischemic strokes and carotid macrothrombosis: the other face of the cytokine storm (a case report).
Aasfara, Jehanne; Jidane, Said; Laarje, Aziza; Yamani, Khalid El; Belyamani, Lahcen; Tijani, Youssef.
  • Aasfara J; Department of Neurology, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Jidane S; Emergency Department, Mohamed V Military Hospital, Mohamed V University of Rabat, Rabat, Morocco.
  • Laarje A; Department of Cardiology, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Yamani KE; Department of Intensive Care, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
  • Belyamani L; Emergency Department, Mohamed V Military Hospital, Mohamed V University of Rabat, Rabat, Morocco.
  • Tijani Y; Department of Vascular Surgery, Cheikh Khalifa International University Hospital, Faculty of Medicine, Mohammed VI University of Health sciences (UM6SS), Casablanca, Morocco.
Pan Afr Med J ; 38: 34, 2021.
Article in English | MEDLINE | ID: covidwho-1110742
ABSTRACT
Since December 2019, the world has experienced the emergence in China of a new infection called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This infection quickly has progressed to a global pandemic since March 2020, with very high human-to-human transmission rate. Besides lung injury, COVID-19 is also associated with cardio and neurovascular complications. Herein, we report the case of a 77-year-old female who presented with non-severe COVID-19 and multiple ischemic strokes secondary to an extensive carotid thrombosis. The ischemic stroke was supposed to have been caused by the cytokine storm related to COVID-19. The possibility of hemorrhagic transformation, based on the assessment of bleeding score, limited the use of anticoagulation, and probably explained the stroke recurrence and poor outcome in our patient. The pathogenic mechanism and the management of this complex situation are still lacking and further studies are needed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Carotid Artery Thrombosis / Cytokine Release Syndrome / Ischemic Stroke / COVID-19 Type of study: Case report / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: Pan Afr Med J Year: 2021 Document Type: Article Affiliation country: Pamj.2021.38.34.27645

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Carotid Artery Thrombosis / Cytokine Release Syndrome / Ischemic Stroke / COVID-19 Type of study: Case report / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: Pan Afr Med J Year: 2021 Document Type: Article Affiliation country: Pamj.2021.38.34.27645