Encephalomyelitis associated with coronavirus disease 2019: a case report.
J Med Case Rep
; 16(1): 329, 2022 Aug 23.
Article
in En
| MEDLINE
| ID: mdl-35999589
ABSTRACT
BACKGROUND:
Despite a considerable number of articles regarding neurological manifestations associated with severe acute respiratory syndrome coronavirus 2 infection, reports on transverse myelitis and encephalitis are scarce. CASE PRESENTATION We report a 35-year-old Asian Arab female presenting with longitudinally extensive transverse myelitis within 3 weeks after being diagnosed with mild coronavirus disease 2019 infection. Administration of high-dose methylprednisolone led to significant clinical improvement. However, 2 days after discharge, the patient was readmitted with encephalitis manifestations, consisting of fever and loss of consciousness, along with deterioration in myelitis symptoms. Severe acute respiratory syndrome coronavirus 2 antibody was detected in cerebrospinal fluid, but DNA of severe acute respiratory syndrome coronavirus 2 was not found. Clinical recovery was achieved after the administration of intravenous immunoglobulin.CONCLUSION:
Longitudinally extensive transverse myelitis can be a neurological manifestation of coronavirus disease 2019 and can be followed by encephalomyelitis episodes. High-dose steroids and intravenous immunoglobulin as an immunomodulator are possible effective treatment options.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Encephalitis
/
Encephalomyelitis
/
COVID-19
/
Myelitis, Transverse
Type of study:
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
J Med Case Rep
Year:
2022
Document type:
Article
Affiliation country: