A Young Female with SARS-CoV-2 Infection Presenting with Concurrent Neurological and Pulmonary Manifestations: A Case Report

Coronavirus disease 2019 (COVID-19), in addition to its well-known respiratory effects, can affect the central nervous system (CNS) with neurological manifestations, typically in older patients with co-morbidities and in critically ill patients with COVID-19 pneumonia. Infective, cerebrovascular, and hypoxic–toxic–metabolic etiologies have been implicated, and reported outcomes are often poor with persistent neurological deficits among survivors. We report a young woman who presented with neurological manifestations alongside moderately severe COVID-19 pneumonia. After early diagnosis and exclusion of infective and cerebrovascular causes, she was managed as severe encephalopathy, responded well to conservative measures, and made a complete recovery. Early recognition of neurological manifestations of COVID-19 followed by appropriate therapies may improve outcomes.

Ptr Makuloluwa, Kavisha P Dissanayake, Mmpt Jayasekera