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.
1450-1452
Butt, Isabel
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Sawlani, Vijay
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Geberhiwot, Tarekegn
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1 August 2020
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), .
(doi:10.1002/acn3.51067).
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.
Text
acn3.51067
- Accepted Manuscript
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
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Date deposited: 26 May 2020 16:31
Last modified: 16 Mar 2024 08:00
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Contributors
Author:
Isabel Butt
Author:
Vijay Sawlani
Author:
Tarekegn Geberhiwot
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