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Catatonic syndrome as the presentation of encephalitis in association with COVID-19.

Damaris Vazquez-GuevaraSandra Badial-OchoaKaren M Caceres-RajoIldelfonso Rodríguez-Leyva
Published in: BMJ case reports (2021)
COVID-19 has shown different neurological manifestations even sometimes there are the initial or the main presentation.The following case report is about a middle-aged woman who, over 3 days, developed fever, clinical neurological alterations (stupor, muteness, fixed gaze and catatonia), cerebrospinal fluid (16 lymphocytes) and an electroencephalogram (EEG) (4-6 Hz generalised activity) with characteristics of encephalitis. A serum IgG, IgM, nasopharyngeal swab PCR for SARS-CoV-2. The patient responded positively to support measures, symptomatic and corticosteroid treatment. At discharge, the patient was independent and improved considerably.We report the presence of catatonia as a possible and atypical manifestation of encephalitis in association with COVID-19.
Keyphrases
  • case report
  • sars cov
  • coronavirus disease
  • respiratory syndrome coronavirus
  • middle aged
  • cerebrospinal fluid
  • peripheral blood
  • replacement therapy
  • brain injury
  • high density