Case Report: Successful Management of Ischemic Stroke Patients with Pneumonia, Diabetes Mellitus, and Hypertension in The ICU

Abstract

Background: Stroke is one of the main causes of death worldwide. Although neurological complications are the leading cause of death, half of acute stroke patients may die from other medical complications, including pulmonary infections. Case Presentation: It has been reported that a patient aged 65 years with ischemic stroke was treated in the ICU accompanied by diabetes mellitus, acute kidney injury, and hypertension. During treatment in the ICU, the patient experienced complications of pneumonia. The patient underwent endotracheal intubation and ventilator installation as well as a percutaneous dilatational tracheostomy (PDT). During treatment, the patient received antibiotic therapy, blood sugar regulation with insulin, and administration of antihypertensive drugs. The patient experienced clinical improvement and was discharged from the ICU after 18 days of treatment and was subsequently treated in the HCU. Conclusion: The length of stay of stroke patients in the ICU requires attention, especially the problem of nosocomial infections that may accompany the patient during the treatment. If there is an infection or other complications, an appropriate selection of antibiotics and supportive therapy is necessary during treatment.