COVID-19-associated acute transverse myelitis: a rare entity.
Uddalak ChakrabortyAtanu ChandraAritra Kumar RayPurbasha BiswasPublished in: BMJ case reports (2020)
SARS-CoV-2 has wreaked havoc globally and has claimed innumerable lives all over the world. Apart from the characteristic respiratory illness, this disease has been associated with florid extrapulmonary manifestations and complications. A 59-year-old female healthcare worker presented with features of acute-onset non-compressive myelopathy with a sensory level at T10 segment along with high-grade fever for 4 days. MRI of dorsal spine was suggestive of myelitis at T7 vertebral level. She was initiated on injectable steroids and did show some initial signs of recovery. A day later, she developed an acute-onset respiratory failure but could not be revived despite our best efforts. Her nasopharyngeal and oropharyngeal swab turned out to be positive for SARS-CoV-2 reverse transcriptase polymerase chain reaction (RT-PCR). We hereby report a case of acute transverse myelitis with COVID-19 as a probable aetiology.
Keyphrases
- respiratory failure
- sars cov
- liver failure
- extracorporeal membrane oxygenation
- healthcare
- mechanical ventilation
- coronavirus disease
- respiratory syndrome coronavirus
- high grade
- aortic dissection
- drug induced
- spinal cord
- magnetic resonance imaging
- computed tomography
- risk factors
- acute respiratory distress syndrome
- bone mineral density
- social media
- postmenopausal women