tetano
Editor, Senior Moderator
Cureus
. 2021 Apr 13;13(4):e14476.
doi: 10.7759/cureus.14476.
COVID-19-Induced Encephalitis: A Case Report of a Rare Presentation With a Prolonged Electroencephalogram
Mohammed A Miqdad[SUP] 1 2 [/SUP], Saed Enabi[SUP] 1 [/SUP], Mohammad Alshurem[SUP] 3 [/SUP], Tariq Al-Musawi[SUP] 4 5 [/SUP], Abdullah Alamri[SUP] 1 6 [/SUP]
Affiliations
Abstract
Encephalitis is one of the rare complications of coronavirus disease 2019 (COVID-19) that can be missed and confused with other causes of encephalitis. There was a 36-year-old male known to have glucose-6 phosphate dehydrogenase deficiency, who was brought to the emergency department with fever and confusion of one-week duration. Altered mental status work-up, including cerebrospinal fluid analysis, was done and turned out to be nondiagnostic. Multiple prolonged video-electroencephalographic recordings were done and showed different abnormalities suggestive of encephalitis. The diagnosis of COVID-19-induced encephalitis was made by exclusion of other encephalitis-related etiologies in the presence of a positive COVID-19 polymerase chain reaction (PCR) test, and treatment was initiated accordingly. Over a period of three weeks, the patient showed progressive improvement and was discharged home with regular follow-up in the neurology clinic. Upon follow-up in the clinic, the patient was fully independent but with multiple abnormal electroencephalographic recordings showing generalized encephalopathy with no epileptic discharges.
Keywords: acyclovir; confusion; corona virus; covid 19 encephalitis; encephalitis; sars-cov-2; theta wave.
. 2021 Apr 13;13(4):e14476.
doi: 10.7759/cureus.14476.
COVID-19-Induced Encephalitis: A Case Report of a Rare Presentation With a Prolonged Electroencephalogram
Mohammed A Miqdad[SUP] 1 2 [/SUP], Saed Enabi[SUP] 1 [/SUP], Mohammad Alshurem[SUP] 3 [/SUP], Tariq Al-Musawi[SUP] 4 5 [/SUP], Abdullah Alamri[SUP] 1 6 [/SUP]
Affiliations
- PMID: 34007736
- PMCID: PMC8121127
- DOI: 10.7759/cureus.14476
Abstract
Encephalitis is one of the rare complications of coronavirus disease 2019 (COVID-19) that can be missed and confused with other causes of encephalitis. There was a 36-year-old male known to have glucose-6 phosphate dehydrogenase deficiency, who was brought to the emergency department with fever and confusion of one-week duration. Altered mental status work-up, including cerebrospinal fluid analysis, was done and turned out to be nondiagnostic. Multiple prolonged video-electroencephalographic recordings were done and showed different abnormalities suggestive of encephalitis. The diagnosis of COVID-19-induced encephalitis was made by exclusion of other encephalitis-related etiologies in the presence of a positive COVID-19 polymerase chain reaction (PCR) test, and treatment was initiated accordingly. Over a period of three weeks, the patient showed progressive improvement and was discharged home with regular follow-up in the neurology clinic. Upon follow-up in the clinic, the patient was fully independent but with multiple abnormal electroencephalographic recordings showing generalized encephalopathy with no epileptic discharges.
Keywords: acyclovir; confusion; corona virus; covid 19 encephalitis; encephalitis; sars-cov-2; theta wave.