Ischemic Stroke in the Course of COVID-19 in a 16-Year-Old Boy.

Publication date: Nov 07, 2023

The SARS-CoV-2 virus that causes COVID-19 disease is still evolving and, despite the end of the acute phase of the pandemic, still poses a risk to public health. One of the very rare complications, occurring in less than 1% of children, is multisystem inflammatory syndrome in children (MISC). Due to the risk of thromboembolic complications as well as cardiac problems, MISC carries a number of life-threatening complications. We report a case of a 16-year-old boy who was hospitalized due to general weakness, fever, conjunctivitis, vomiting and diarrhoea. In view of the mother’s positive result of the SARS-CoV-2 test, the teenager underwent numerous laboratory tests. Taking into account the critical condition of the patient, anticoagulant and antipyretic treatment, steroids and IVIG were added. During hospitalisation, alarming symptoms occurred, including dysarthria, drooping corner of the mouth and muscle weakness on the right side. The magnetic resonance imaging showed changes characteristic of ischemic stroke. Further studies are needed to assess possible thrombotic complications in children after SARS-CoV-2 infection, and specialists should be more vigilant in paediatric patients presenting with such symptoms.

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Concepts Keywords
Laboratory COVID-19 compilations
Mother ischemic stroke
Teenager MISC
Thrombotic
Vigilant

Semantics

Type Source Name
disease MESH Ischemic Stroke
disease MESH COVID-19
disease MESH causes
disease MESH complications
disease MESH multisystem inflammatory syndrome in children
disease VO report
disease MESH conjunctivitis
drug DRUGBANK Immune Globulin Human
disease MESH dysarthria
disease VO mouth
pathway REACTOME SARS-CoV-2 Infection
drug DRUGBANK Coenzyme M
disease MESH syndrome
disease MESH infection
disease IDO process
disease MESH shock
disease MESH virus infection
disease VO organization
disease MESH purulent conjunctivitis
disease MESH inflammation
disease MESH Hypotension
disease MESH pericarditis
disease MESH abnormalities
disease MESH sepsis
disease MESH Kawasaki disease
disease MESH heart failure
disease MESH Thromboembolism
disease MESH multiple organ failure
disease IDO blood
disease MESH urinary tract infection
disease MESH Cardiac arrhythmias
disease MESH premature ventricular contraction

Original Article

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