International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 12 | Case Report | Open Access DOI
Touab Rida*
Touab Rida1*, Rabii Andaloussi Mohamed2, Masad Ilyass3, Mohsani Mohamed4, Qamous Youssef5, Balkhi Hicham6
1,2,3,6Anesthesiology and Critical Care, Military Training Hospital Mohamed V, Rabat, Morocco
4Neurosurgery, Training Hospital Mohamed V, Rabat, Morocco
5Anesthesiology and Critical Care, Ibn Sina Military Hospital, Marrakech, Morocco
*Correspondence to: Touab Rida
Fulltext PDFIntroduction: The Covid 19 is multisystem disease, with a cerebro-vascular manifestation including, ischemic, embolic and hemorragique strocke.
Case Report: Patient is 80 years old, with a history of chronic smoking that has been stopped for 30 years and ischemic heart disease. Presenting for a fortnight a cough with fever and myalgia and dyspnea. A thoracic tomodensitometry had objectified an aspect of Covid 19 pneumonia with more than 75% of the pulmonary parenchyma, and a PCR SARS-COV 2 performed on a positive nasopharyngeal sample. He admitted to intensive care unit because he had a respiratory distress with high oxygen flow. The evolution during the first 24 hours of hospitalisation was one of respiratory aggravation, followed on the second day by the installation of a predominantly brachial left hemiparesis, without pupillary anomaly. A cerebral ultrasound scan revealed a hyperchoic image in the cerebral parenchyma suggesting intracerebral hemorrhage, without any image of midline deviation, with a normal Doppler study. The patient had worsened respiratory distress requiring mechanical ventilation with protective ventilation by trying to keep a PaCO2 close to normal and stopping anticoagulation for one week. The result was unfavourable with death on the ninth day of admission.
Severe pneumonia; Neurological disorder; Ultrasound; Cerebral hematoma
Touab Rida, Rabii Andaloussi Mohamed, Masad Ilyass, Mohsani Mohamed, Qamous Youssef, Balkhi Hicham. Severe Covid 19 Pneumonia and Neurological Disorders in A Field Hospital: Benefit of Bedside Ultrasound. Int Clinc Med Case Rep Jour. 2024;3(12):1-5.