COVID-19-induced encephalitis: a case report of a rare presentation with a prolonged electroencephalogram
journal contributionposted on 2022-02-07, 09:54 authored by Mohammed A Miqdad, Saed Enabi, Mohammad Alshurem, Tariq Al-Musawi, Abdullah AlAmri
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.
CommentsThe original article is available at https://www.cureus.com/
Published CitationMiqdad MA, Enabi S, Alshurem M, Al-Musawi T, Alamri A. COVID-19-induced encephalitis: a case report of a rare presentation with a prolonged electroencephalogram. Cureus. 2021;13(4):e14476
Publication Date13 April 2021
- RCSI Bahrain
- Published Version (Version of Record)