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10.1016/j.jstrokecerebrovasdis.2020.104981

http://scihub22266oqcxt.onion/10.1016/j.jstrokecerebrovasdis.2020.104981
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suck abstract from ncbi


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pmid32807416
      J+Stroke+Cerebrovasc+Dis 2020 ; 29 (9 ): 104981
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  • Unprotected stroke management in an undiagnosed case of Severe Acute Respiratory Syndrome Coronavirus 2 infection #MMPMID32807416
  • Papi C ; Spagni G ; Alexandre A ; Calabresi P ; Della Marca G ; Broccolini A
  • J Stroke Cerebrovasc Dis 2020[Sep]; 29 (9 ): 104981 PMID32807416 show ga
  • Coronavirus disease 19 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this scenario, managing acute medical conditions, such as stroke, requires a timely treatment together with proper strategies that minimize the risk of infection spreading to health care workers and other patients. We report the case of a 79-year-old woman, who was admitted for a wake-up stroke due to occlusion of the left middle cerebral artery. She was treated outside the COVID-19-dedicated track of the hospital because she had no concomitant signs or symptoms suggestive of SARS-CoV-2 infection nor recent contact with other infected individuals. Post-mortem nasal and pharyngeal swab was positive for SARS-CoV-2 infection. We propose that hyperacute stroke patients should be tested for SARS-CoV-2 infection at admission and then managed as having COVID-19 until cleared by a negative result. We are aware that such measure results in some delay of the acute treatment of stroke, which could be minimal using well-exercised containment protocols.
  • |*Clinical Laboratory Techniques [MESH]
  • |Aged [MESH]
  • |Betacoronavirus/*isolation & purification [MESH]
  • |COVID-19 [MESH]
  • |COVID-19 Testing [MESH]
  • |Coronavirus Infections/*diagnosis/transmission/virology [MESH]
  • |Delayed Diagnosis [MESH]
  • |Fatal Outcome [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Infarction, Middle Cerebral Artery/diagnosis/physiopathology/*therapy [MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/prevention & control [MESH]
  • |Nose/*virology [MESH]
  • |Occupational Exposure/adverse effects [MESH]
  • |Pandemics [MESH]
  • |Pharynx/*virology [MESH]
  • |Pneumonia, Viral/*diagnosis/transmission/virology [MESH]
  • |Predictive Value of Tests [MESH]
  • |Risk Factors [MESH]
  • |SARS-CoV-2 [MESH]


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