Respiratory Distress in SARS-CoV-2 without Lung Damage: Phrenic Paralysis Should Be Considered in COVID-19 Infection.
Eur J Case Rep Intern Med
; 7(6): 001728, 2020.
Article
in English
| MEDLINE | ID: covidwho-2271369
ABSTRACT
We describe an overweight COVID-19 patient with respiratory distress preceded by anosmia/dysgeusia with no lung injury shown on CT, angio-CT or ventilation/perfusion scans. Orthopnoea and paradoxical abdominal respiration were identified. Phrenic paralysis, demonstrated by examination of patient breathing, and on x-ray while standing breathing in and out, explained the respiratory distress. This is a rare and previously undescribed neurological complication of COVID-19 infection caused by vagus nerve injury. LEARNING POINTS Phrenic paralysis must be kept in mind as a rare neurological complication of COVID-19.Vagus nerve palsy is a neurological manifestation as anosmia and dysgeusia, that were already identified in the olfactory system of COVID-19 patients.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Language:
English
Journal:
Eur J Case Rep Intern Med
Year:
2020
Document Type:
Article
Affiliation country:
2020_001728
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