Venous sinus thrombosis during COVID-19 infection in pregnancy
a case report
Palavras-chave:
COVID-19 [supplementary concept], Pregnancy, Headache, FemaleResumo
BACKGROUND: Although it is known that the new coronavirus disease (COVID-19), which was first seen in Wuhan, China, in December 2019 and has affected the whole world, mainly targets the respiratory tract, cases of this disease with a wide clinical spectrum are emerging as information is shared. CASE REPORT: We present the case of a pregnant woman who was diagnosed with venous sinus thrombosis after she developed headache and hemiparesis. Polymerase chain reaction (PCR) positivity lasted for two weeks after COVID-19 had been diagnosed. CONCLUSIONS: In patients with suspected COVID-19, especially in the presence of causes of hypercoagulability and presence of atypical features, venous sinus thrombosis needs to be kept in mind in making the differential diagnosis.
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Li T, Lu H, Zhang W. Clinical observation and management of COVID-19 patients. Emerg Microbes Infect. 2020;9(1):687-90. PMID: 32208840; http://doi.org/10.1080/22221751.2020.1741327.
Long B, Brady WJ, Koyfman A, Gottlieb M. Cardiovascular complications in COVID-19. Am J Emerg Med. 2020;38(7):1504-7. PMID: 32317203; http://doi.org/10.1016/j.ajem.2020.04.048.
Akhmerov A, Marbán E. COVID-19 and the Heart. Circ Res. 2020;126(10):1443-55. PMID: 32252591; http://doi.org/10.1161/CIRCRESAHA.120.317055.
Bikdeli B, Madhavan MV, Jimenez D, et al. COVID-19 and Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, and Follow-Up: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;75(23):2950-73. PMID: 32311448; http://doi.org/10.1016/j.jacc.2020.04.031.
Connors JM, Levy JH. COVID-19 and its implications for thrombosis and anticoagulation. Blood. 2020;135(23):2033-40. PMID: 32339221; http://doi.org/10.1182/blood.2020006000.
Wichmann D, Sperhake JP, Lütgehetmann M, et al. Autopsy Findings and Venous Thromboembolism in Patients With COVID-19. Ann Intern Med. 2020;173(4):268-77. PMID: 32374815; http://doi.org/10.7326/M20-2003.
Klok FA, Kruip MJHA, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145-7. PMID: 32291094; http://doi.org/10.1016/j.thromres.2020.04.013.
Gavriilaki E, Brodsky RA. Severe COVID-19 infection and thrombotic microangiopathy: success does not come easily. Br J Haematol. 2020;189(6):e227-30. PMID: 32369610; http://doi.org/10.1111/bjh.16783.
Zhang Y, Xiao M, Zhang S, et al. Coagulopathy and Antiphospholipid Antibodies in Patients with Covid-19. N Engl J Med. 2020;382(17):e38. PMID: 32268022; http://doi.org/10.1056/NEJMc2007575.
Ellul MA, Benjamin L, Singh B, et al. Neurological associations of COVID-19. Lancet Neurol. 2020;19(9):767-83. PMID: 32622375; http://doi.org/10.1016/S1474-4422(20)30221-0.
Li Y, Li M, Wang M, et al. Acute cerebrovascular disease following COVID-19: a single center, retrospective, observational study. Stroke Vasc Neurol. 2020;5(3):279-84. PMID: 32616524; http://doi.org/10.1136/svn-2020-000431.
Zuurbier SM, Coutinho JM. Cerebral Venous Thrombosis. Adv Exp Med Biol. 2017;906:183-93. PMID: 27628005; http://doi.org/10.1007/5584_2016_115.
Coutinho JM, Zuurbier SM, Stam J. Declining mortality in cerebral venous thrombosis: a systematic review. Stroke. 2014;45(5):1338-41. PMID: 24699058; http://doi.org/10.1161/STROKEAHA.113.004666.
Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42(4):1158-92. PMID: 21293023; http://doi.org/10.1161/STR.0b013e31820a8364.
Ferro JM, Bousser MG, Canhão P, et al. European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis - endorsed by the European Academy of Neurology. Eur J Neurol. 2017;24(10):1203-13. PMID: 28833980; http://doi.org/10.1111/ene.13381.
Litwin CM, Binder SR. ANA testing in the presence of acute and chronic infections. J Immunoassay Immunochem. 2016;37(5):439-52. PMID: 27050929; http://doi.org/10.1080/15321819.2016.1174136.
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