Abstract:

Certainly, the respiratory clinical smptomatology remains the most classic, however, covid 19 is recently considered to be a vasculitis affecting several organs, and which is the origin of other extra-pulmonary manifestations, in particular thromboembolic disease (both venous and arterial) which has increasingly become a dramatic complication to be feared during this pandemic, due to its negative impact on the prognosis of affected patients, increasing the need for intentive care and the death rate.The mechanism is multifactorial, associating endothelial damage, an abnormality of hemostasis, and immunothrobosis[1].We report the case of a 39-year-old female patient who had aacute ischemic stroke (AIS) by embolization of a thrombus located in the left ventricle, whose hiscovid 19 disease was subsequently diagnosed, and whose evolution was later marked by clinical worsening, so the patient was transferred to intensive care.The interest of this case report is to show the need to acquire the reflex to think about a covid 19 disease in case of AIS (especially for the young) even in the absence of other obvious respiratory signs, as well as to shed light on the mechanism and the particularity of diagnostic and therapeutic management of this kind of complications.

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