Ischemic Stroke in Corona Virus Disease 2019 with Vascular Cognitive Impairment and Pulmonary Tuberculosis – A Case Report

Gloria Wongkar¹, Gerard Juswanto², Lidia Rombeallo³, and Titi Mutiara³, Irwan Tansil⁴, Firmansya⁵

Abstract

Background: COVID-19 is a global pandemic caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This virus was declared by the World Health Organization (WHO). Many other conditions, including neurological conditions, may complicate COVID-19. COVID-19 is known to increase the risk of ischemic stroke due to COVID-19-associated coagulation (CAC) and the neurotropism of SARS-CoV-2. Tuberculosis is a chronic disease that can cause stroke with vasculitis and hypoxia pathways. Tuberculosis also lowers the immune system, making it easier to get infected by SARS-CoV-2. This case aimed to report a case of recurrent ischemic stroke in COVID-19 with VCI and Pulmonary TB in Biak, Papua, Indonesia. Case: A man-69 years old with vascular cognitive impairment because of their first ischemic stroke currently comes with recurrent ischemic stroke with right hemiparesis and right central facial nerve paralysis. The patient has a history of pulmonary TB on treatment. In the course of the patient’s illness, the patient has worsening consciousness and oxygen saturation; CT Thorax shows right collapse pneumothorax bronchopneumonia with a positive SARS-CoV-2 PCR test. Conclusion: Ischemic stroke can be present along with COVID-19, especially in severe conditions with the existence of pulmonary TB coinfection.

Keywords

COVID-19; Ischemic stroke; pulmonary tuberculosis; SARS-CoV-2

Cite This Article

Wongkar, G., Juswanto, G., Rombeallo, L., Mutaira, T., Tansil, I., Firmansya. (2023). Ischemic Stroke in Corona Virus Disease 2019 with Vascular Cognitive Impairment and Pulmonary Tuberculosis – A Case Report. International Journal of Scientific Advances (IJSCIA), Volume 4| Issue 6: Nov-Dec 2023, Pages 1049-1055, URL: https://www.ijscia.com/wp-content/uploads/2023/12/Volume4-Issue6-Nov-Dec-No.540-1049-1055.pdf

Volume 4 | Issue 6: Nov-Dec 2023