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. 2020;2(6):703-709.
doi: 10.1007/s42399-020-00315-y. Epub 2020 May 23.

Clinical Features of COVID-19 in a Young Man with Massive Cerebral Hemorrhage-Case Report

Yi Bao  1 , Shu Yu Lin  2 , Zhao Hui Cheng  1 , Jun Xia  2 , Yan Peng Sun  1 , Qi Zhao  1 , Guang Jian Liu  1
Affiliations

Clinical Features of COVID-19 in a Young Man with Massive Cerebral Hemorrhage-Case Report

Yi Bao et al. SN Compr Clin Med. 2020.

Abstract

COVID-19 is currently a pandemic in the world, can invade multiple systems, and has a high morbidity and mortality. So far, no cases of acute cerebrovascular disease have been reported. This article reports the clinical features of a COVID-19 patient whose first symptom was cerebral hemorrhage. More importantly, after the craniotomy, the patient had high fever and it was difficult to retreat. After cerebrospinal fluid testing, it was determined that an intracranial infection had occurred. After anti-infection and plasma infusion of the recovered person, the patient's symptoms gradually improved. This case suggests that COVID-19 may infringe on cerebral blood vessels and cause cerebral hemorrhage. Transfusion of plasma from rehabilitation patients is effective for critically ill patients.

Keywords: ACE2; COVID-19; Cerebral hemorrhage; Immunoglobulin; SARS-CoV-2.

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Conflict of interest statement

Competing InterestsThe authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
CT changes of lung and brain in patients with COVID-19 complicated with cerebral hemorrhage
Fig. 2
Fig. 2
The treatment of COVID-19 patients with intracerebral hemorrhage
Fig. 3
Fig. 3
Temperature curve of COVID-19 patients with intracerebral hemorrhage
See this image and copyright information in PMC

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