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

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Paula Bonates Bessa, Andreza Karoline Barros Brito, Flávio Ribeiro Pereira, Sildomar Queiroz e Silva, Taynná Vernalha Rocha Almeida, André Patrício de Almeida
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2020
• Subjects: HIV; SARS-CoV-2 Infection; Ischemic Stroke; Covid-19; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/0037-8682-0692-2020; https://doaj.org/article/426d58347a76425a843e7984575715d4

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.