Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection.
Basi, Saajan Hamdan, Mohammad Punekar, Shuja
Basi, Saajan
Hamdan, Mohammad
Punekar, Shuja
Abstract
A 66-year-old man was admitted to hospital with a right frontal cerebral infarct producing left-sided weakness and a deterioration in his speech pattern. The cerebral infarct was confirmed with CT imaging. The only evidence of respiratory symptoms on admission was a 2 L oxygen requirement, maintaining oxygen saturations between 88% and 92%. In a matter of hours this patient developed a greater oxygen requirement, alongside reduced levels of consciousness. A positive COVID-19 throat swab, in addition to bilateral pneumonia on chest X-ray and lymphopaenia in his blood tests, confirmed a diagnosis of COVID-19 pneumonia. A proactive decision was made involving the patients’ family, ward and intensive care healthcare staff, to not escalate care above a ward-based ceiling of care. The patient died 5 days following admission under the palliative care provided by the medical team.
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Date
2020-08
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Citation
Basi, S., Hamdan, M. and Punekar, S. (2020) ‘Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection’, BMJ Case Reports, 13(8), pp. 1–5. doi: 10.1136/bcr-2020-235920.