American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2020, 8(11), 409-412
DOI: 10.12691/ajmcr-8-11-8
Open AccessCase Report

COVID - 19 Presenting as Acute Viral Encephalitis: A Rare Occurrence

Rohit Jacob1, and Manjiri Naik1

1Department of Medicine, Mahatma Gandhi Mission Medical College, Aurangabad, India

Pub. Date: July 26, 2020

Cite this paper:
Rohit Jacob and Manjiri Naik. COVID - 19 Presenting as Acute Viral Encephalitis: A Rare Occurrence. American Journal of Medical Case Reports. 2020; 8(11):409-412. doi: 10.12691/ajmcr-8-11-8

Abstract

A 60 year old female presented with a 1 day history of altered sensorium. Her imaging findings were suggestive of Viral Encephalitis, for which she was empirically treated with Acyclovir. However, due to the rising incidence of COVID 19 all over the globe, her nasopharyngeal swab was sent for RT PCR, suspecting COVID 19. The report tested positive and she was simultaneously started on Favipravir and vitamin and mineral supplements. After 4 days of initiating treatment, she developed bilateral Crepitations and the Chest XRay was suggestive of Bilateral midzonal haziness. Eventually she was started on Methylprednisolone following which she showed signs of improvement. She eventually regained her orientation and completely recovered from Encephalitis and COVID 19 pneumonia after 15 days of initiating treatment. This case is reported to suggest one of the rarest non - respiratory manifestation of COVID 19.

Keywords:
COVID 19 Encephalitis diagnosis

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References:

[1]  Megan brooks, M. First Presumptive Case of Encephalitis Linked to COVID-19 Reported. [Online]. Available from: https://www.medscape.com/viewarticle/928069 [Accessed 8 July 2020].
 
[2]  Shin jie yong, S. First Case of Covid-19 Encephalitis: A Possibility of Virus Latency and Reactivation. [Online]. Available from: https://medium.com/microbial-instincts/first-case-of-covid- 19-encephalitis-7b305fcfe9a8 [Accessed 8 July 2020].