Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series
Coronavirus disease 2019 (COVID-19) can cause systemic and respiratory symptoms. Acute respiratory distress syndrome (ARDS), anemia, acute heart injury, secondary infection, and stroke are the complications of COVID-19. Age, oxidative stress, endothelial dysfunction, inflammatory status, vascular ri...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universitas Gadjah Mada
2023-10-01
|
| Series: | Journal of the Medical Sciences |
| Subjects: | |
| Online Access: | https://jurnal.ugm.ac.id/bik/article/view/73235 |
| _version_ | 1797355398177488896 |
|---|---|
| author | Hanindia Riani Prabaningtyas Maria Yosita Ayu Hapsari Stefanus Erdana Putra Muhammad Hafizhan Diah Kurnia Mirawati Pepi Budianto Subandi Subandi Rivan Danuaji |
| author_facet | Hanindia Riani Prabaningtyas Maria Yosita Ayu Hapsari Stefanus Erdana Putra Muhammad Hafizhan Diah Kurnia Mirawati Pepi Budianto Subandi Subandi Rivan Danuaji |
| author_sort | Hanindia Riani Prabaningtyas |
| collection | DOAJ |
| description | Coronavirus disease 2019 (COVID-19) can cause systemic and respiratory symptoms. Acute respiratory distress syndrome (ARDS), anemia, acute heart injury, secondary infection, and stroke are the complications of COVID-19. Age, oxidative stress, endothelial dysfunction, inflammatory status, vascular risk factors, and hypoxemia are risk factors for stroke associated with COVID-19. In this case report, two cases of COVID-19 complicated by stroke and other thromboembolic diseases were discussed. Case 1: a 46-year-old man presented with right extremities weakness, dysarthria, cough, colds, chest pain radiating to left upper extremity. He was diagnosed with moderate COVID-19, with complication of embolic stroke and myocardial infarction. After administration of IV furosemid and recombinant tissue plasminogen activator (rTPA), his condition improved, and he was discharged from our facility. Case 2: a 54-year-old woman presented with a decreased level of consciousness, skin discoloration, tenderness on her left calf, cough, fever, and shortness of breath. She was diagnosed with moderate COVID-19 with a complication of thrombotic stoke and deep vein thrombosis (DVT). She was treated with rTPA, IV citicoline, and fondaparinux for 5 days. In conclusion, COVID-19 carries a risk of thromboembolic complication. COVID-19 patients have a higher risk of bleeding, therefore, medications, particularly anticoagulant, should be administered with more caution. |
| first_indexed | 2024-03-08T14:10:28Z |
| format | Article |
| id | doaj.art-e38504fcee0248d2aabfa46baebca5f6 |
| institution | Directory Open Access Journal |
| issn | 2356-3931 |
| language | English |
| last_indexed | 2024-03-08T14:10:28Z |
| publishDate | 2023-10-01 |
| publisher | Universitas Gadjah Mada |
| record_format | Article |
| series | Journal of the Medical Sciences |
| spelling | doaj.art-e38504fcee0248d2aabfa46baebca5f62024-01-15T00:55:58ZengUniversitas Gadjah MadaJournal of the Medical Sciences2356-39312023-10-0155310.19106/JMedSci00550320230734677Coronavirus disease 2019 (COVID-19) related stroke incidence: a case seriesHanindia Riani Prabaningtyas0Maria Yosita Ayu Hapsari1Stefanus Erdana Putra2Muhammad Hafizhan3Diah Kurnia Mirawati4Pepi Budianto5Subandi Subandi6Rivan Danuaji7Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Department of Neurology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta,Coronavirus disease 2019 (COVID-19) can cause systemic and respiratory symptoms. Acute respiratory distress syndrome (ARDS), anemia, acute heart injury, secondary infection, and stroke are the complications of COVID-19. Age, oxidative stress, endothelial dysfunction, inflammatory status, vascular risk factors, and hypoxemia are risk factors for stroke associated with COVID-19. In this case report, two cases of COVID-19 complicated by stroke and other thromboembolic diseases were discussed. Case 1: a 46-year-old man presented with right extremities weakness, dysarthria, cough, colds, chest pain radiating to left upper extremity. He was diagnosed with moderate COVID-19, with complication of embolic stroke and myocardial infarction. After administration of IV furosemid and recombinant tissue plasminogen activator (rTPA), his condition improved, and he was discharged from our facility. Case 2: a 54-year-old woman presented with a decreased level of consciousness, skin discoloration, tenderness on her left calf, cough, fever, and shortness of breath. She was diagnosed with moderate COVID-19 with a complication of thrombotic stoke and deep vein thrombosis (DVT). She was treated with rTPA, IV citicoline, and fondaparinux for 5 days. In conclusion, COVID-19 carries a risk of thromboembolic complication. COVID-19 patients have a higher risk of bleeding, therefore, medications, particularly anticoagulant, should be administered with more caution.https://jurnal.ugm.ac.id/bik/article/view/73235covid-19strokesars-cov-2risk factorsthromboembolic |
| spellingShingle | Hanindia Riani Prabaningtyas Maria Yosita Ayu Hapsari Stefanus Erdana Putra Muhammad Hafizhan Diah Kurnia Mirawati Pepi Budianto Subandi Subandi Rivan Danuaji Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series Journal of the Medical Sciences covid-19 stroke sars-cov-2 risk factors thromboembolic |
| title | Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series |
| title_full | Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series |
| title_fullStr | Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series |
| title_full_unstemmed | Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series |
| title_short | Coronavirus disease 2019 (COVID-19) related stroke incidence: a case series |
| title_sort | coronavirus disease 2019 covid 19 related stroke incidence a case series |
| topic | covid-19 stroke sars-cov-2 risk factors thromboembolic |
| url | https://jurnal.ugm.ac.id/bik/article/view/73235 |
| work_keys_str_mv | AT hanindiarianiprabaningtyas coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT mariayositaayuhapsari coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT stefanuserdanaputra coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT muhammadhafizhan coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT diahkurniamirawati coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT pepibudianto coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT subandisubandi coronavirusdisease2019covid19relatedstrokeincidenceacaseseries AT rivandanuaji coronavirusdisease2019covid19relatedstrokeincidenceacaseseries |