Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Coronavirus Disease 2019 Complicated by Multiple Simultaneous Intracerebral Hemorrhages
Ryota MotoieMasaya AkaiTakahiro KitaharaHisaji ImamuraTakeshi TanabeKatsuhiko SarazawaSeiichiro TakanoHiroki TodaKazuto Komatsu
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JOURNALS OPEN ACCESS

2020 Volume 59 Issue 20 Pages 2597-2600

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Abstract

The relationship between coronavirus disease 2019 (COVID-19) and intracerebral hemorrhage remains unclear. We herein report a case of severe COVID-19 pneumonia complicated by multiple simultaneous intracerebral hemorrhages (MSICH). The patient died eight days after the episode of MSICH. No apparent coagulopathy was observed; however, extracorporeal membrane oxygenation and anticoagulation might have caused the occurrence of MSICH. Laboratory findings showed hypercoagulability, suggesting that thrombotic etiologies, such as sinus thrombosis or cerebral infarction, might also have caused MSICH. MSICH can occur as a fatal complication of COVID-19, and this should be considered when providing treatment.

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© 2020 by The Japanese Society of Internal Medicine
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