Indian Journal of Critical Care Case Report

Register      Login

VOLUME 2 , ISSUE 1 ( January-February, 2023 ) > List of Articles


Ischemic Stroke Associated with Upper Limb Ischemia Revealing a COVID-19 Infection: A Case Report and Review

Oumaima Azzouzi Idrissi, Soumaya Touzani, Nawfal Houari, Abderrahim El Bouazzaoui, Brahim Boukatta, Nabil Kanjaa

Keywords : Coagulopathy, Coronavirus disease of 2019, Stroke, Upper limb ischemia

Citation Information : Idrissi OA, Touzani S, Houari N, Bouazzaoui AE, Boukatta B, Kanjaa N. Ischemic Stroke Associated with Upper Limb Ischemia Revealing a COVID-19 Infection: A Case Report and Review. 2023; 2 (1):4-7.

DOI: 10.5005/jp-journals-11006-0036

License: CC BY-NC 4.0

Published Online: 07-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


The coronavirus disease of 2019 (COVID-19) is known as a highly infectious disease with several systemic complications. Both vascular and neurological disorders emerged as challenging management conditions for practitioners. In order to highlight COVID-19-induced coagulopathy, we report the case of an ischemic stroke with upper acute limb ischemia (ALI), revealing a COVID infection in a 60-year-old male patient with a history of diabetes.

  1. Adukia SA, Ruhatiya RS, Manjunath RB, et al. Extrapulmonary features of COVID-19: a concise review. Indian J Crit Care Med 2020;24(7):575–580. DOI: 10.5005/jp-journals-10071-23476
  2. Klok FA, Kruip MJHA, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res 2020;191:145–147. DOI: 10.1016/j.thromres.2020.04.013
  3. Sánchez JB, Cuipal Alcalde JD, Ramos Isidro R, et al. Acute limb ischemia in a Peruvian cohort infected by COVID-19. Ann Vasc Surg 2021;72:196–204. DOI: 10.1016/j.avsg.2020.12.005
  4. Galyfos G, Sianou A, Frountzas M, Acute limb ischemia among patients with COVID-19 infection. J Vasc Surg 2022;75(1):326–342. DOI: 10.1016/j.jvs.2021.07.222
  5. Levi M, Thachil J, Iba T, et al. Coagulation abnormalities and thrombosis in patients with COVID-19. Lancet Haematol 2020;7(6):e438–e440. DOI: 10.1016/S2352-3026(20)30145-9
  6. Ilonzo N, Rao A, Berger K, et al. Acute thrombotic events as initial presentation of patients with COVID-19 infection. J Vasc Surg Cases Innov Tech 2020;6(3):381–383. DOI: 10.1016/j.jvscit.2020.05.011
  7. Etkin Y, Conway AM, Silpe J, et al. Acute arterial thromboembolism in patients with COVID-19 in the New York city area. Ann Vasc Surg 2021;70:290–294. DOI: 10.1016/j.avsg.2020.08.085
  8. Bellosta R, Luzzani L, Natalini G, et al. Acute limb ischemia in patients with COVID-19 pneumonia. J Vasc Surg 2020;72(6):1864–1872. DOI: 10.1016/j.jvs.2020.04.483
  9. Touzani S, Haddari FZ, El Bouazzaoui A, et al. Acute limb ischemia in critically ill COVID-19 patients: a case series and literature review. J Med Surg Res 2021;7(3):917–923. DOI: 10.46327/msrjg.1.000000000000191
  10. Kakkar G, Sapra H, Chugh C, et al. Practice implications for acute ischemic stroke during the COVID-19 pandemic for the Indian scenario: realistic and achievable recommendations by the Society of Neurocritical Care (SNCC), India. Indian J Crit Care Med 2020;24(9):757–762. DOI: 10.5005/jp-journals-10071-23511
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.