?:abstract
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Coronavirus disease 2019 (COVID-19) mainly manifests as a respiratory syndrome, besides causing other complications Severe COVID-19 may also present with coagulopathy, leading to venous thrombosis and cerebral infarction Generally, acute stroke is a secondary complication in patients displaying respiratory syndromes Here, we present a case of acute stroke in an 84-year-old female patient who did not manifest any respiratory symptoms The patient had no cough or fever before the stroke onset;nevertheless, COVID-19 PCR test was positive The patient also had markedly elevated serum D-dimer levels Our findings suggest that coagulopathy can occur even in a patient with asymptomatic COVID-19 infection, and to our knowledge, this is the first report of such a case We concluded that elevated D-dimer levels can serve as an additional COVID-19 screening tool in stroke patients
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