Revista da Sociedade Brasileira de Medicina Tropical (Nov 2020)

Ischemic stroke related to HIV and SARS-COV-2 co-infection: a case report

  • Paula Bonates Bessa,
  • Andreza Karoline Barros Brito,
  • Flávio Ribeiro Pereira,
  • Sildomar Queiroz e Silva,
  • Taynná Vernalha Rocha Almeida,
  • André Patrício de Almeida

DOI
https://doi.org/10.1590/0037-8682-0692-2020
Journal volume & issue
Vol. 53

Abstract

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Abstract A 56-year-old male with human immunodeficiency virus required hospitalization due to the onset of both dyspnea and asthenia. A computed tomography of the chest exam showed the radiological pattern of coronavirus SARS-CoV-2 pulmonary involvement. Based on immunochromatographic analysis, the patient evolved as a reagent for immunoglobulin M (IgM) and immunoglobulin G (IgG) anti-SARS-CoV-2 antibodies. The individual developed complete hemiparesis with a predominance in the right arm and conduction aphasia. T1-weighted magnetic resonance sequence of the brain showed an area of hypointensity with a high intrinsic cortical signal and hyperintensity in the T2-sequence. A Doppler velocimetric examination showed total/critical sub occlusion, suggesting an ischemic stroke.

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