ABSTRACT
With the emergence of coronavirus and the rapidly increasing number of cases, we observed that people were suffering from a lack of information about where to source critical requirements such as oxygen cylinders, beds, ambulance service, and ventilators. In this research paper and project, the authors have designed and developed an interactive information dashboard to access the availability of these resources and requirements at different locations across India from myriad sources. The information dashboard will show information for all the states across India. The dashboard visualizes the number of corona cases, hospital beds, blood bank, etc. The end-users and the COVID-19 support team can imagine all the requirements in the dashboard that is factual and credible within their vicinity from multiple information sources. The user need not search various information sites to search for different conditions. The project collates the data of other requirements from primary sources of information like Twitter and government websites and lists them on the dashboard. The authors used open-source programming and database technologies to display the data per user requirements. The dashboard was helpful to the end-users during COVID-19 times in terms of convenient accessibility and efficiency. © 2022 IEEE.
ABSTRACT
PURPOSE: Acute hemorrhagic leukoencephalitis (AHLE) is a rare and severe form of acute disseminated encephalomyelitis (ADEM). Only a few reports of AHLE in coronavirus disease 2019 (COVID-19) patients have been described to date. We report a case of COVID-19-related AHLE along with a literature review describing salient clinical and imaging characteristics. METHODS: A literature search was performed on Medline (2020-present), PubMed, Cochrane Library, CINAHL, and Google scholar on 28 January 2021 for all articles published using MeSH terms "COVID-19" or "SARS-CoV-2" with "Acute hemorrhagic leukoencephalitis" or "Acute hemorrhagic encephalitis." Relevant case reports and case series describing clinical and imaging features of AHLE associated with SARS-CoV-2 infection were included, data compiled, and critically reviewed. RESULTS: Acute onset encephalopathy and rapidly deteriorating neurological status is the common clinical presentation in AHLE. CSF analysis reveals elevated proteins and lymphocytic pleocytosis. Typical neuroimaging features include multifocal, variable-sized, poorly defined cerebral white matter lesions with cortical sparing. Involvement of the brainstem, cerebellar peduncles, and deep grey matter can also occur, although rarely. Lesions are hyperintense on T2-weighted (T2W) and fluid-attenuated inversion recovery (FLAIR) images, hypointense on T1W images, and show microhemorrhages, variable diffusion restriction, and post-contrast enhancement. Extensive microhemorrhages, brainstem involvement, and gross hemorrhage often portend a poor prognosis. CONCLUSION: Heightened awareness about the clinical and imaging presentation of COVID-19-related AHLE can positively alter the outcome in a select few by enabling early diagnosis and aggressive management.