title: Haemorrhagic stroke after thrombolysis with streptokinase.
abstract: A 54 years old male presented with central chest pain for five hours in a local hospital, Comilla. He was diagnosed as a case of acute STEMI (Extensive Anterior) and was thrombolized with Streptokinase 1.5 million IU. His pain was relieved, ST segment was depressed by >50% after thrombolysis. While in hospital, he developed weakness of his left limbs with gradually deteriorating level of consciousness. A CT scan of brain showed haemorrhage in the right frontoparietal region. This is a rare case of haemorrhagic stroke after thrombolysis with streptokinase.
authors.affiliation: Dr Jahanara Arzu, Assistant Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
authors.forename: J
authors.initials: J
authors.lastname: Arzu
authors.forename: M A
authors.initials: MA
authors.lastname: Muqueet
authors.forename: S A
authors.initials: SA
authors.lastname: Sweety
authors.forename: A M
authors.initials: AM
authors.lastname: Iqbal
authors.forename: F I
authors.initials: FI
authors.lastname: Kabir
authors.forename: M
authors.initials: M
authors.lastname: Mahmood
mesh_terms: D004562:Electrocardiography; D017809:Fatal Outcome; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D020300:Intracranial Hemorrhages / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D013300:Streptokinase / Q000008:administration & dosage / Q000009:adverse effects; D015912:Thrombolytic Therapy / Q000009:adverse effects / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase