The Coronavirus May Pose a New Risk to Younger Patients: Strokes

NEW YORK — Ravi Sharma was doubled over on his bed when his father found him. He’d had a bad cough for a week and had self-quarantined in his bedroom. As an emergency medical technician, he knew he was probably infected with the coronavirus.

The cases add to evidence that the coronavirus attacks not just the lungs but also the kidneys, brain, heart and liver. In rare cases, it seems to trigger a life-threatening inflammatory syndrome in children. Doctors at Mount Sinai Health System in New York have also seen an unusual number of young stroke patients, saying they treated five such patients with COVID-19 during a recent two-week period. The medical center typically sees only one stroke patient under the age of 50 every three weeks, Dr. Johanna Fifi, a neurologist, and her colleagues noted in a letter in The New England Journal of Medicine.

Dr. Michael Yaffe, an intensive care physician at Beth Israel Deaconess Medical Center in Boston, called clotting a “hallmark” of the disease, although “not in everyone.” People who have been exposed to the coronavirus, or are managing the infection at home, should call their doctors if they experience chest pain and shortness of breath, which may signal a blood clot in the lung, or leg pain, swelling, redness and discoloration that may indicate a clot.Until he arrived at Jamaica Hospital on April 1, Sharma had never been tested for infection with the coronavirus. But he knew he was at risk.

Over the next few days, while Sharma remained sedated. Yamin spoke frequently with the doctors and nurses at the hospital, taking meticulous notes that she shared with relatives and with The New York Times. The left side of the brain controls movement on the right side of the body, as well as speech and language, reading and writing, organizational ability, reasoning and analysis.Then, on April 15, there was some movement on the left side of Ravi’s body, the side not affected by the stroke. His fever ebbed. The staff lowered the ventilator setting, and he tolerated it.

Sharma whispered into the phone for the first time the next day, his throat still sore and hoarse from the ventilator tube.

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