tetano
Editor, Senior Moderator
Cureus
. 2021 Jun 9;13(6):e15542.
doi: 10.7759/cureus.15542. eCollection 2021 Jun.
An Unusual Case of Acute Hemorrhagic Necrotizing Encephalomyelitis in a COVID-19 Patient
Moaaz Baghal[SUP] 1 [/SUP], Mohamed Ahmed[SUP] 1 [/SUP], Mounir Ibrahim[SUP] 1 [/SUP], Syed Jafri[SUP] 2 [/SUP], Sameh Elias[SUP] 1 [/SUP]
Affiliations
Abstract
Acute disseminated encephalomyelitis, also known as ADEM, is a rare autoimmune demyelinating disease of the central nervous system that has been correlated with viral infections and vaccinations and has a range of presentations, where it can present as a mild neurological dysfunction or more severe manifestations ending in chronic neurological sequelae or even death; therefore, it is considered to be a diagnostic challenge. We present a case of ADEM diagnosed in a previously healthy male patient with a recent infection of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2). Early diagnosis and management with intravenous immunoglobulins held the key to a good outcome.
Keywords: acute demyelinating encephalomyelitis; acute hemorrhagic encephalomyelitis; case report; covid-19; sars-cov-2.
. 2021 Jun 9;13(6):e15542.
doi: 10.7759/cureus.15542. eCollection 2021 Jun.
An Unusual Case of Acute Hemorrhagic Necrotizing Encephalomyelitis in a COVID-19 Patient
Moaaz Baghal[SUP] 1 [/SUP], Mohamed Ahmed[SUP] 1 [/SUP], Mounir Ibrahim[SUP] 1 [/SUP], Syed Jafri[SUP] 2 [/SUP], Sameh Elias[SUP] 1 [/SUP]
Affiliations
- PMID: 34268057
- PMCID: PMC8268565
- DOI: 10.7759/cureus.15542
Abstract
Acute disseminated encephalomyelitis, also known as ADEM, is a rare autoimmune demyelinating disease of the central nervous system that has been correlated with viral infections and vaccinations and has a range of presentations, where it can present as a mild neurological dysfunction or more severe manifestations ending in chronic neurological sequelae or even death; therefore, it is considered to be a diagnostic challenge. We present a case of ADEM diagnosed in a previously healthy male patient with a recent infection of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2). Early diagnosis and management with intravenous immunoglobulins held the key to a good outcome.
Keywords: acute demyelinating encephalomyelitis; acute hemorrhagic encephalomyelitis; case report; covid-19; sars-cov-2.