We report a case of encephalitis in a young male patient with severe coronavirus disease 2019 (COVID-19) who initially presented with typical symptoms of fever, dry cough, and shortness of breath but later on developed acute respiratory distress syndrome and required mechanical ventilation. Two days post-extubation, the patient developed new-onset generalized tonic-clonic seizures and confusion. MRI of the brain was done and it showed an abnormal signal in the bilateral medial cortical frontal region. His cerebral spinal fluid (CSF) analysis revealed a characteristic picture of a viral infection with a high white blood cell count and normal glucose and protein levels. After ruling out all common causes of viral encephalitis such as herpes simplex virus (HSV) and based on the review of available literature regarding the neurological manifestations of COVID-19, this case was labeled as acute viral encephalitis secondary to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
【저자키워드】 SARS-CoV-2, COVID 19, Seizures, acute respiratory distress syndrome [ards], acute encephalitis, 【초록키워드】 COVID-19, viral infection, coronavirus, mechanical ventilation, Infection, virus, Brain, Encephalitis, MRI, White blood cell, Fever, male, Patient, characteristic, Glucose, CSF, acute respiratory distress, Analysis, Seizure, Shortness of breath, Confusion, acute respiratory syndrome, cerebral spinal fluid, severe coronavirus disease, dry cough, syndrome, protein levels, herpes simplex, neurological manifestation, viral encephalitis, the patient, required, cause, was done, cortical, typical symptom, 【제목키워드】 COVID-19, clinical, finding, report,