Cerebral infarction caused by endocarditis in a patient with COVID-19
- Affiliated Author(s)
- 박재석; 박형종; 손성일; 홍정호
- Alternative Author(s)
- Park, Jae Seok; Park, Hyung Jong; Sohn, Sung Il; Hong, Jeong Ho
- Journal Title
- Journal of Neurocritical Care
- ISSN
- 2508-1349
- Issued Date
- 2020
- Keyword
- COVID-19; Heart injury; Endocarditis; Cerebral infarction; Neurologist
- Abstract
- Background:
Coronavirus disease 2019 (COVID-19) has become a worldwide health threat due to its highly contagious nature and severe complications. The authors experienced a case of cerebral infarction caused by endocarditis in a patient infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Case Report:
A 65-year-old male patient with COVID-19 was admitted to our hospital for cohort isolation. On day 11 after admission, the patient suddenly presented right-sided hemiparesis. Computed tomography of the brain showed multiple hypodense lesions, which confirmed acute cerebral infarction. Transthoracic echocardiogram revealed a vegetation of about 5 mm on the mitral valve and endocarditis was diagnosed as the cause of cerebral infarction.
Conclusion:
Cerebral infarction is one of the complications of COVID-19 and can occur at any time during the course of the disease. Hence, a neurologist has an important role in the medical team involved in COVID-19 treatment.
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