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    Clinical course of a 66-year-old man with an acute ischaemic stroke in the setting of a COVID-19 infection.

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    Abstract
    A 66-year-old man was admitted to hospital with a right frontal cerebral infarct producing left-sided weakness and a deterioration in his speech pattern. The cerebral infarct was confirmed with CT imaging. The only evidence of respiratory symptoms on admission was a 2 L oxygen requirement, maintaining oxygen saturations between 88% and 92%. In a matter of hours this patient developed a greater oxygen requirement, alongside reduced levels of consciousness. A positive COVID-19 throat swab, in addition to bilateral pneumonia on chest X-ray and lymphopaenia in his blood tests, confirmed a diagnosis of COVID-19 pneumonia. A proactive decision was made involving the patients’ family, ward and intensive care healthcare staff, to not escalate care above a ward-based ceiling of care. The patient died 5 days following admission under the palliative care provided by the medical team.
    URI
    https://orda.derbyhospitals.nhs.uk/handle/123456789/2335
    Collections
    • Stroke Services [3]
    Date
    2020-08
    Author
    Basi, Saajan
    Hamdan, Mohammad
    Punekar, Shuja
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