IJMDC. 2022; 6(2): 415-418

COVID-19 related encephalitis in an adult patient; a case report

Authors: Khulood Alhasan, Aljawhara Altheyab, Noorah Mosharraf, Maisha Maymona, Tarig Khuwaitir.

ABSTRACT

Background: Novel severe acute respiratory coronavirus 2, predominantly recognized as a respiratory system infection, is currently starting to be considered a neuro-pathogen as well. The hallmark feature is altered mental status, with symptoms ranging from mild confusion to deep coma. Neurological complications of coronavirus disease 2019 (COVID-19) could also include encephalopathy, stroke, seizures, meningoencephalitis, Guillain-Barré Syndrome, Acute Disseminated Encephalomyelitis and myalgias. Case Presentation: In this case report, a 66-year-old male with known case of type-2 diabetes mellitus was presented to the emergency department with agitation and a decreased level of consciousness. The patient was admitted as a case of viral meningoencephalitis, COVID-19 infection and diabetic ketoacidosis (DKA). Patient’s DKA was treated with the DKA protocol and the viral meningoencephalitis was treated with Ceftriaxone, Ampicillin, and Acyclovir. Furthermore, the patient was discharged on Favipiravir 800 mg Bis in die (BID), Lorazepam 1 mg TID, Olanzapine 5 mg OD, Aspirin 81 mg OD, and Plavix 75 mg OD. Conclusion: COVID-19 could lead to encephalitis as a complication in patients that raise inflammatory markers and cerebrospinal fluid pleocytosis. It is associated with risk factors, most commonly being hypertension, hyperlipidemia, chronic kidney or liver disease, and congestive heart failure.

Keywords:
coronavirus disease 2019, viral encephalitis, acute encephalopathy, case report


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COVID-19 related encephalitis in an adult patient; a case report


Authors
Khulood Alhasan
Alfaisal University, College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Aljawhara Altheyab
Alfaisal University, College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Noorah Mosharraf
Alfaisal University, College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Maisha Maymona
Alfaisal University, College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Tarig Khuwaitir
King Saudi Medical City, Internal Medicine Department, Riyadh, Saudi Arabia.
PubMed articlesGoogle scholar articles


Correspondence to:
. Alfaisal University, College of Medicine, Riyadh, Saudi Arabia.; Aaaltheyab@alfaisal.edu

Publication history
Received 13 Dec 2021
Accepted 21 Dec 2021
Published online 04 Jan 2022
Published in print 19 Jan 2022

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Pubmed Style

Alhasan K, Altheyab A, Mosharraf N, Maymona M, Khuwaitir T. COVID-19 related encephalitis in an adult patient; a case report. IJMDC. 2022; 6(2): 415-418. doi:10.24911/IJMDC.51-1639411513


Web Style

Alhasan K, Altheyab A, Mosharraf N, Maymona M, Khuwaitir T. COVID-19 related encephalitis in an adult patient; a case report. https://www.ijmdc.com/?mno=51522 [Access: May 25, 2022]. doi:10.24911/IJMDC.51-1639411513


AMA (American Medical Association) Style

Alhasan K, Altheyab A, Mosharraf N, Maymona M, Khuwaitir T. COVID-19 related encephalitis in an adult patient; a case report. IJMDC. 2022; 6(2): 415-418. doi:10.24911/IJMDC.51-1639411513


Vancouver/ICMJE Style

Alhasan K, Altheyab A, Mosharraf N, Maymona M, Khuwaitir T. COVID-19 related encephalitis in an adult patient; a case report. IJMDC. (2022), [cited May 25, 2022]; 6(2): 415-418. doi:10.24911/IJMDC.51-1639411513


Harvard Style

Alhasan, K., Altheyab, . A., Mosharraf, . N., Maymona, . M. & Khuwaitir, . T. (2022) COVID-19 related encephalitis in an adult patient; a case report. IJMDC, 6 (2), 415-418. doi:10.24911/IJMDC.51-1639411513


Turabian Style

Alhasan, Khulood, Aljawhara Altheyab, Noorah Mosharraf, Maisha Maymona, and Tarig Khuwaitir. 2022. COVID-19 related encephalitis in an adult patient; a case report. International Journal of Medicine in Developing Countries, 6 (2), 415-418. doi:10.24911/IJMDC.51-1639411513


Chicago Style

Alhasan, Khulood, Aljawhara Altheyab, Noorah Mosharraf, Maisha Maymona, and Tarig Khuwaitir. "COVID-19 related encephalitis in an adult patient; a case report." International Journal of Medicine in Developing Countries 6 (2022), 415-418. doi:10.24911/IJMDC.51-1639411513


MLA (The Modern Language Association) Style

Alhasan, Khulood, Aljawhara Altheyab, Noorah Mosharraf, Maisha Maymona, and Tarig Khuwaitir. "COVID-19 related encephalitis in an adult patient; a case report." International Journal of Medicine in Developing Countries 6.2 (2022), 415-418. Print. doi:10.24911/IJMDC.51-1639411513


APA (American Psychological Association) Style

Alhasan, K., Altheyab, . A., Mosharraf, . N., Maymona, . M. & Khuwaitir, . T. (2022) COVID-19 related encephalitis in an adult patient; a case report. International Journal of Medicine in Developing Countries, 6 (2), 415-418. doi:10.24911/IJMDC.51-1639411513


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