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

Rev Soc Bras Med Trop. 2020 Nov 25:53:e20200692. doi: 10.1590/0037-8682-0692-2020. eCollection 2020.

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.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Viral
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / virology*
  • COVID-19 / complications*
  • Coinfection / virology
  • HIV Infections / complications*
  • Humans
  • Immunoglobulin G
  • Immunoglobulin M
  • Ischemic Stroke / diagnostic imaging
  • Ischemic Stroke / virology*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • SARS-CoV-2

Substances

  • Antibodies, Viral
  • Immunoglobulin G
  • Immunoglobulin M