Lung ultrasound showed diffuse bilateral B lines with unusual pleural thickening, and consolidation with environment bronchogram and small pleural effusion when you look at the lower remaining lobe. Chest HRCT and abdominal CT scanning with contrast disclosed diaphragmatic rupture with gastric perforation, and atelectasis of the left pulmonary lobe with unilateral pleural effusion, diffuse ground-glass opacities and several small consolidations in both lobes. A nasopharyngeal swab for 2019-nCoV was positive. An analysis of diaphragmatic rupture and gastric perforation in COVID-19 pneumonia had been made. The patient had been immediately hospitalized and surgically addressed. Treatment for COVID-19 and empiric antibiotic therapy were quickly started. Discovering points Coronavirus disease (COVID-19) could cause fever, dry cough and acute respiratory failure.Cough may result in a few complications, including rupture of this diaphragm and stomach herniation.CT scanning is the gold standard process to investigate COVID-19 pneumonia and diaphragmatic rupture.Introduction a solid association between stroke and atrial fibrillation (AF) was demonstrated. Anticoagulation when it comes to prevention of swing in risky clients has got the advantage of improving the life span, well being, autonomy and social performance of the client. The COVID-19 pandemic poses challenges for stroke customers because of the association between SARS-CoV-2 disease and thromboembolic risk. Case description We describe the truth of an 84-year-old feminine patient admitted because of an embolic swing and non-anticoagulated AF. Her entry signs had been sensory-motor aphasia and severe right limb paresis with an NIHSS score of 24. The diagnosis of embolic swing (specifically, total anterior blood flow infarct; TACI) ended up being made. Her stroke ended up being substantial therefore she wasn’t begun on anticoagulation. During hospitalization, brand new embolic events happened and a concomitant diagnosis of COVID-19 had been made out of progressive respiratory disorder followed closely by multiorgan failure. The patient died despite proper therapy. Discussion The prognosis of elderly customers with cardioembolic stroke depends upon anticoagulation administration. The NIHSS rating on admission of your patient designed anticoagulation treatment was not proper. The analysis of COVID-19 added into the person’s demise. Learning points Anticoagulation should be thought about in swing patients with total infarction and atrial fibrillation.There is an association between COVID-19 and thromboembolic stroke.Elderly patients with stroke and COVID-19 have reached greater risk of death.Severe COVID-19 may predispose to both venous and arterial thrombosis. We describe a patient with intense ischaemic swing while suffering from COVID-19 and respiratory failure, necessitating technical air flow. Deep sedation may wait analysis. Learning points A thrombotic stroke can complicate serious COVID-19.Prolonged deep sedation during technical air flow in vivo pathology of COVID-19 patients may hesitate the analysis of stroke.The hypercoagulability and a thrombo-inflammatory response in COVID-19 is characterized by an increase in D-dimers and fibrinogen.Cytokine launch problem (CRS) is a systemic inflammatory response that may be triggered by numerous facets such attacks. CRS in customers with coronavirus condition 2019 (COVID-19) is life-threatening and can happen very rapidly after COVID-19 analysis. Tocilizumab (TCZ), an interleukin-6 (IL-6) inhibitor, may ameliorate the CRS related to severe COVID-19 and hence improve clinical outcomes. We present an instance of life-threatening CRS caused by COVID-19 infection successfully addressed with TCZ. Discovering things Cytokine release problem (CRS) is a systemic inflammatory response that can be brought about by COVID-19.CRS are life-threatening in severe COVID-19.Tocilizumab could have a job in treating severe COVID-19 clients with CRS.We explain an overweight COVID-19 patient with respiratory distress preceded by anosmia/dysgeusia without any lung injury shown on CT, angio-CT or ventilation/perfusion scans. Orthopnoea and paradoxical stomach respiration had been identified. Phrenic paralysis, demonstrated by study of patient breathing, as well as on x-ray while standing breathing in and out, explained the breathing distress. This really is an unusual and previously undescribed neurologic complication of COVID-19 infection brought on by vagus nerve injury. Mastering points Phrenic paralysis must be considered as an uncommon neurologic problem of COVID-19.Vagus neurological palsy is a neurological manifestation as anosmia and dysgeusia, which were currently identified when you look at the olfactory system of COVID-19 patients.The diagnosis of pulmonary embolism is challenging in symptomatic COVID-19 customers since shortness of breath, chest pain, tachycardia, tachypnoea, fever, air desaturation and high D-dimer blood levels may be options that come with both diseases. We present two COVID-19 clients in whom pulmonary embolism was suspected (and identified) as a result of a discrepancy between an increase in D-dimer bloodstream levels and a decrease in C-reactive protein blood levels in the long run. We genuinely believe that an opposite change in the blood degrees of both biomarkers over time can be used as a novel method to predict pulmonary embolism in COVID-19 clients. Discovering points The analysis of pulmonary embolism is challenging in COVID-19 customers since signs, signs and large D-dimer blood levels could be similar in both diseases.An escalation in D-dimer blood amounts and a decrease in C-reactive necessary protein blood levels over time may be used as a novel method to anticipate pulmonary embolism in COVID-19 patients.The serious intense respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic that developed in late 2019 and early 2020 has actually caused a large number of deaths and has had an enormous effect on our health and wellness methods and economies. Coronavirus condition 2019 (COVID-19) problems feature disseminated coagulation and thrombosis, but, into the most readily useful of our knowledge, the literature to date on these manifestations is limited.