• Rev. Soc. Bras. Med. Trop. · Jan 2020

    Case Reports

    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, and André Patrício de Almeida.
    • Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, AM, Brasil.
    • Rev. Soc. Bras. Med. Trop. 2020 Jan 1; 53: e20200692.

    AbstractA 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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