tetano
Editor, Senior Moderator
Cureus
. 2023 Jan 31;15(1):e34446.
doi: 10.7759/cureus.34446. eCollection 2023 Jan.
Ischemic Stroke Secondary to Myocarditis in the Setting of COVID-19
Tarakarama Musunuri[SUP] 1 [/SUP], Patrick M Muehlberger[SUP] 1 [/SUP]
Affiliations
Abstract
Coronavirus disease (COVID-19) is primarily a respiratory disease that has also been shown to be associated with neurological complications such as ischemic stroke, Guillain-Barré syndrome, and encephalitis. Ischemic stroke in patients with COVID-19 has mostly been observed in the elderly, those with significant comorbidities, and the critically ill. In this report, we discuss a case of ischemic stroke in an otherwise healthy young male patient who only had a mild case of COVID-19. It is likely that the patient suffered from an ischemic stroke secondary to cardiomyopathy that resulted from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The ischemic stroke was most likely a result of thromboembolism caused by stasis of blood from acute dilated cardiomyopathy and the hypercoagulable state of COVID-19 patients. It is important to maintain a high degree of clinical suspicion for thromboembolic events in COVID-19 patients.
Keywords: cardiomyopathy; covid 19; ischemic stroke; myocardidits; stroke; thrombo embolic disease.
. 2023 Jan 31;15(1):e34446.
doi: 10.7759/cureus.34446. eCollection 2023 Jan.
Ischemic Stroke Secondary to Myocarditis in the Setting of COVID-19
Tarakarama Musunuri[SUP] 1 [/SUP], Patrick M Muehlberger[SUP] 1 [/SUP]
Affiliations
- PMID: 36874760
- PMCID: PMC9979860
- DOI: 10.7759/cureus.34446
Abstract
Coronavirus disease (COVID-19) is primarily a respiratory disease that has also been shown to be associated with neurological complications such as ischemic stroke, Guillain-Barré syndrome, and encephalitis. Ischemic stroke in patients with COVID-19 has mostly been observed in the elderly, those with significant comorbidities, and the critically ill. In this report, we discuss a case of ischemic stroke in an otherwise healthy young male patient who only had a mild case of COVID-19. It is likely that the patient suffered from an ischemic stroke secondary to cardiomyopathy that resulted from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The ischemic stroke was most likely a result of thromboembolism caused by stasis of blood from acute dilated cardiomyopathy and the hypercoagulable state of COVID-19 patients. It is important to maintain a high degree of clinical suspicion for thromboembolic events in COVID-19 patients.
Keywords: cardiomyopathy; covid 19; ischemic stroke; myocardidits; stroke; thrombo embolic disease.