D-dimer level elevation can aid in detection of asymptomatic COVID-19 presenting with acute cerebral infarction

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 secondary complication in patients displaying syndromes. Here, we case of an 84-year-old female patient who did not manifest any symptoms. The had no cough or fever before the onset; nevertheless, PCR test was positive. markedly elevated serum D-dimer levels. Our findings suggest that coagulopathy can occur even asymptomatic infection, our knowledge, this first report such case. We concluded levels serve additional screening tool patients.