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Prolonged Confusional state as first manifestation of COVID-19

Prolonged Confusional state as first manifestation of COVID-19
Prolonged Confusional state as first manifestation of COVID-19

A 77-year-old gentleman, normally fit and well, was admitted with acute confusion. On admission, Glasgow Coma Scale (GCS) was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan was normal. CXR showed some air space opacification. Investigations revealed hyponatraemia, raised CRP, and positive for COVID-19. Treated with antibiotics and intravenous saline, sodium returned to normal. Delirium remained unchanged 4 weeks post-incidence. Neurological manifestations were documented in patients with COVID-19; however no report has shown delirium as a primary manifestation. This case illustrates acute confusion may be the only presenting symptom of COVID-19 without overt lung disease.

2328-9503
1450-1452
Butt, Isabel
5dd342ca-6f16-41fd-ac35-10b059477b27
Sawlani, Vijay
81238783-23aa-4e7c-bb31-45b910d76f17
Geberhiwot, Tarekegn
2fabf1c5-6140-4df4-a2d8-790b262714b5
Butt, Isabel
5dd342ca-6f16-41fd-ac35-10b059477b27
Sawlani, Vijay
81238783-23aa-4e7c-bb31-45b910d76f17
Geberhiwot, Tarekegn
2fabf1c5-6140-4df4-a2d8-790b262714b5

Butt, Isabel, Sawlani, Vijay and Geberhiwot, Tarekegn (2020) Prolonged Confusional state as first manifestation of COVID-19. Annals of Clinical and Translational Neurology, 7 (8), 1450-1452. (doi:10.1002/acn3.51067).

Record type: Article

Abstract

A 77-year-old gentleman, normally fit and well, was admitted with acute confusion. On admission, Glasgow Coma Scale (GCS) was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan was normal. CXR showed some air space opacification. Investigations revealed hyponatraemia, raised CRP, and positive for COVID-19. Treated with antibiotics and intravenous saline, sodium returned to normal. Delirium remained unchanged 4 weeks post-incidence. Neurological manifestations were documented in patients with COVID-19; however no report has shown delirium as a primary manifestation. This case illustrates acute confusion may be the only presenting symptom of COVID-19 without overt lung disease.

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acn3.51067 - Accepted Manuscript
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More information

Accepted/In Press date: 20 May 2020
Published date: 1 August 2020
Additional Information: © 2020 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

Identifiers

Local EPrints ID: 440963
URI: http://eprints.soton.ac.uk/id/eprint/440963
ISSN: 2328-9503
PURE UUID: 4afbdf46-4109-467d-8b89-4cd55fd3335d

Catalogue record

Date deposited: 26 May 2020 16:31
Last modified: 05 Jun 2024 18:42

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Contributors

Author: Isabel Butt
Author: Vijay Sawlani
Author: Tarekegn Geberhiwot

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