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J Med Case Rep . Presentation of COVID-19 infection with bizarre behavior and encephalopathy: a case report

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  • J Med Case Rep . Presentation of COVID-19 infection with bizarre behavior and encephalopathy: a case report


    J Med Case Rep


    . 2021 Apr 28;15(1):220.
    doi: 10.1186/s13256-021-02851-0.
    Presentation of COVID-19 infection with bizarre behavior and encephalopathy: a case report


    Zahra Teimouri-Jervekani 1 , Mehrzad Salmasi 2



    Affiliations

    Abstract

    Background: Current studies show that patients with severe coronavirus disease 2019 (COVID-19) have neurological symptoms manifesting as acute cerebrovascular diseases, impaired consciousness, and skeletal muscle symptoms. Bizarre behavior is an unusual and unique presenting symptom of COVID-19 infection in our patient.
    Case presentation: We report a case of COVID-19 infection in a middle aged Iranian man without underlying disease who presented with bizarre behavior. Results of brain imaging were normal, but COVID-19 pneumonia was detected on chest computed tomography scan. Given the respiratory problem and positive polymerase chain reaction (PCR) test for COVID-19, treatment with hydroxychloroquine was administered, and after 2 days all of the symptoms resolved.
    Conclusions: Encephalopathy and encephalitis may be a possible presentation of COVID-19. Clinicians and health care providers should consider the presence of COVID-19 with bizarre behavior during this COVID-19 pandemic.

    Keywords: Bizarre behavior; COVID-19; Encephalopathy.

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