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BMJ Case Rep . COVID-19-associated ischaemic stroke despite use of anticoagulation

tetano

Editor, Senior Moderator
BMJ Case Rep


. 2021 Jul 29;14(7):e243741.
doi: 10.1136/bcr-2021-243741.
COVID-19-associated ischaemic stroke despite use of anticoagulation


Shyam Sharma[SUP] 1 [/SUP], Michael Wood[SUP] 2 [/SUP], Giosue Gulli[SUP] 3 [/SUP]



Affiliations

Abstract

A 64-year-old female nurse was admitted to hospital following fever, cough, shortness of breath and low blood pressure. She tested positive for COVID-19 and was treated on a high-dependency unit and prescribed enoxaparin, a prophylactic anticoagulant. Eight days later, she suffered a left middle cerebral artery ischaemic stroke. Over the next 2 weeks, her condition fluctuated, eventually leading to her death. We report her case from clinical history to investigations and outcomes, and explore the potential link between coronavirus, the use of anticoagulation and ischaemic stroke.

Keywords: covid-19; stroke; warfarin therapy.
 
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