Il coronavirus può provocare gravi ictus (anche) in giovani adulti

È allarme negli Usa per giovani o persone di mezza età morti per ictus positivi al coronavirus, gente che non si era nemmeno accorta di essere malata. Lo racconta il Washington Post in un articolo che parte dalla situazione al Mount Sinai Beth Israel Hospital di Manhattan che lamenta una carenza di medici per curare tutti i pazienti con ictus, tutti tra i 30 e i 40 anni e tutti infettati dal coronavirus .

Pazienti molto giovani

J Mocco, direttore del Mount Sinai’s Cerebrovascular Center, ha dichiarato che il numero di pazienti arrivati con coaguli di sangue nel cervello è raddoppiato durante le tre settimane dell’ondata di Covid-19. Più della metà erano positivi, giovani e per lo più senza fattori di rischio. In una lettera che sarà pubblicata sul New England Journal of Medicine la prossima settimana, il team del Mount Sinai espone in dettaglio cinque casi studio di giovani pazienti che hanno avuto un ictus di 33, 37, 39, 44 e 49 anni. Le analisi suggeriscono che questi pazienti hanno sviluppato il tipo più mortale di ictus “da occlusione dei grandi vasi”, che colpisce persone di età media di 74 anni. Sembrerebbe essere collegato al problema di coaguli di sangue che il virus provoca in tutto il corpo. Un coagulo iniziato nei polpacci potrebbe migrare verso i polmoni, causando un blocco chiamato embolia polmonare, coaguli vicino al cuore possono causare un attacco di cuore (altra causa di morte nel Covid-19), un coagulo sopra al cuore probabilmente andrebbe al cervello.

Sintomi neurologici nel 36% dei pazienti

«Anche uno stato confusionale o le convulsioni possono corrispondere ad altrettante manifestazioni dell’infezione da nuovo coronavirus, che può esordire anche così. In tante città del nord sono state attivate delle unità “Neuro-Covid-19”», scrive il Policlinico Gemelli (QUI il testo completo) in un articolo che si occupa di questo tema grazie al professor Paolo Calabresi, Ordinario di Neurologia, l’Università Cattolica del Sacro Cuore e Direttore della UOC di Neurologia della Fondazione Policlinico Universitario A. Gemelli IRCCS. Nel pezzo si legge la conferma dell’interessamento del cervello da parte del virus: «Uno studio cinese sostiene che sintomi neurologici (eventi cerebro-vascolari, alterazioni dello stato di coscienza e alterazioni muscolari) sono presenti nel 36% dei pazienti con infezione da coronavirus. I sintomi neurologici nei pazienti Covid-positivi possono manifestarsi come ictus nel 6% dei casi (il virus influenza profondamente i meccanismi della coagulazione), come alterazioni dello stato di coscienza (confusione, stato soporoso, ecc) nel 15% e come danno muscolare nel 19%. Altri pazienti presentano uno strano e persistente formicolio alle mani e ai piedi (acroparestesia) e sintomi da encefalite».

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Coronavirus in Lombardia, oggi 200 morti. I ricoverati in terapia intensiva sotto gli 800: 20 giorni fa erano quasi il doppio

Si scende sotto quella che l'assessore lombardo Pietro Foroni definisce "la soglia psicologica" degli 800 ricoverati in terapia intensiva, "20 giorni fa erano 1.400", ma continua l'altalena drammatica dei morti: nelle ultime 24 ore in Lombardia sono 200 i morti ufficiali di coronavirus, ovvero quelli certificati da un tampone positivo. Ieri erano stati 161, il giorno prima 203. Resta sostanzialmente stabile il numero dei contagiati, pur con un numero di tamponi leggermente inferiore: sono 1.073 in un giorno con 12.016 tamponi effettuati, ieri erano stati 1.161 con 13.502 tamponi. Per parlare di soglie psicologiche, si supera così la soglia dei 70 mila - 70.165 -  contagiati ufficiali in regione dall'inizio dell'emergenza. E i morti, con i 200 di oggi, arrivano a 12.940.

Calano i ricoveri in terapia intensiva, anche se meno dei giorni scorsi: oggi sono 27 in meno (per un totale di 790), ieri erano stati 34 e il giorno prima 50. Calano invece in modo robusto i ricoverati negli altri reparti: meno 500 in un giorno (per un totale di 9.192). Dimesse in un giorno 1.400 persone (44.220 in totale).
 

Coronavirus in Lombardia, i dati delle province

A Milano e provincia lieve calo dei contagi ufficiali: sono 277 in provincia e 105 nel solo capoluogo in un giorno, per un totale rispettivamente di 17.277 e 7.221. Ieri erano stati rispettivamente più 480 e più 161. A Bergamo sono 98 i nuovi contagiati (10.946 in totale), a Brescia 130 (12.308), a Como 83 (2.764), a Cremona 101 (5.807), a Lecco 23 (2.132), a Lodi 46 (2.833), Monza e Brianza 64 (4.317), a Mantova 45 (3.022), a Pavia 76 (3.874), a Sondrio 44 (1.056), a Varese 38 (2.340).

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Fruit Names in italian Part 1

English Fruit	Frutta
Apple	Mela
Pear	Pera
Banana	Banana
Orange	Arancia

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