COVID-19-associated ischaemic stroke despite use of anticoagulation.
Shyam S SharmaMichael WoodGiosue GulliPublished in: BMJ case reports (2021)
A 64-year-old female nurse was admitted to hospital following fever, cough, shortness of breath and low blood pressure. She tested positive for COVID-19 and was treated on a high-dependency unit and prescribed enoxaparin, a prophylactic anticoagulant. Eight days later, she suffered a left middle cerebral artery ischaemic stroke. Over the next 2 weeks, her condition fluctuated, eventually leading to her death. We report her case from clinical history to investigations and outcomes, and explore the potential link between coronavirus, the use of anticoagulation and ischaemic stroke.
Keyphrases
- venous thromboembolism
- sars cov
- middle cerebral artery
- coronavirus disease
- atrial fibrillation
- blood pressure
- respiratory syndrome coronavirus
- internal carotid artery
- primary care
- healthcare
- heart rate
- emergency department
- hypertensive patients
- adverse drug
- type diabetes
- acute care
- skeletal muscle
- human health
- climate change
- metabolic syndrome