Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection.
|dc.identifier.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.||en|
|dc.description.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.||en|
|dc.title||Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection.||en|