ONSET OF COGNITIVE DISORDERS FEW DAYS AFTER A COVID-19 INFECTION DISEASE: DIFFICULTIES TO SET A DIAGNOSIS IN MIDDLE AND LOW-INCOME COUNTRIES
African Journal of Neurological Sciences
; 40(2):86-88, 2021.
Article
in English
| EMBASE | ID: covidwho-1866093
ABSTRACT
Introduction The coronavirus disease 2019 (COVID-19) was first known by its respiratory symptoms. Neurological complications are increasingly seen and described. Our case emphasizes the difficulties of differential diagnosis between encephalitis and post-traumatic stress disorder (PTSD) in SARS-COV2 patients. Case report A healthy 62 years old man tested positive for COVID-19 during a travel procedure. He was admitted to hospital because of a sudden drop of oxygen saturation from 99% to 89% with pulmonary CT scan showing a parenchymal bilateral ground-glass lesions and consolidative opacities of about 50% of lung while the patient remained asymptomatic. After he has been discharged from hospital he developed isolated executive disorders. Post COVID-19 encephalitis or PTSD were questioning. Discussion and conclusion Our patient had an acute hypoxemia which is well known to be associated with executive disorders such as in acute respiratory distress. But these signs appeared after the COVID-19 came negative hence the executive disorders were likely to be related to direct brain infection or to a non-infectious condition like the PTSD. Functional neuroimaging is then the gold standard to rule out a brain damage.
adult; article; brain damage; brain infection; case report; clinical article; cognitive defect; coronavirus disease 2019; diagnosis; differential diagnosis; disorders of higher cerebral function; encephalitis; functional neuroimaging; gold standard; human; hypoxemia; low income country; male; middle aged; nonhuman; oxygen saturation; posttraumatic stress disorder; respiratory distress; Severe acute respiratory syndrome coronavirus 2; travel; x-ray computed tomography; glass
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Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
African Journal of Neurological Sciences
Year:
2021
Document Type:
Article
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