Encephalitis associated with the SARS-CoV-2 virus: A case report.
Identifieur interne : 000E31 ( Main/Curation ); précédent : 000E30; suivant : 000E32Encephalitis associated with the SARS-CoV-2 virus: A case report.
Auteurs : Fenne Vandervorst [Belgique] ; Kaat Guldolf [Belgique] ; Ilse Peeters [Belgique] ; Tim Vanderhasselt [Belgique] ; Kathleen Michiels [Belgique] ; Kinge Johanna Berends [Belgique] ; Johan Van Laethem [Belgique] ; Lissa Pipeleers [Belgique] ; Stefanie Vincken [Belgique] ; Laura Seynaeve [Belgique] ; Sebastiaan Engelborghs [Belgique]Source :
- Interdisciplinary neurosurgery : Advanced techniques and case management [ 2214-7519 ] ; 2020.
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) usually causes fever, respiratory symptoms, malaise and myalgia. Recent observations suggested possible neurological complications of COVID-19, including the first report of suspected viral encephalitis. We report a case of a 29-year-old male with -on nasopharyngeal testing- confirmed SARS-CoV-2 infection with severe respiratory symptoms, followed by clinical and radiological signs of encephalitis. Magnetic resonance imaging (MRI) of the brain showed an asymmetric FLAIR-hyperintensity of the left medial temporal cortex associated with mild gyral expansion. Lumbar puncture was normal and PCR's for SARS-CoV-2 virus on CSF were negative. Clinicians treating SARS-CoV-2 infected patients should be aware of possible neurological complications, like encephalitis. The diagnosis of SARS-CoV-2 encephalitis is difficult as CSF analysis may be normal.
DOI: 10.1016/j.inat.2020.100821
PubMed: 32835017
PubMed Central: PMC7347479
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last="Berends">Kinge Johanna Berends</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychiatry, UZ Brussel, Vrije Universiteit Brussel, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Psychiatry, UZ Brussel, Vrije Universiteit Brussel</wicri:regionArea></affiliation></author><author><name sortKey="Van Laethem, Johan" sort="Van Laethem, Johan" uniqKey="Van Laethem J" first="Johan" last="Van Laethem">Johan Van Laethem</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine and Endocrinology, UZ Brussel, Vrije Universiteit Brussel, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Internal Medicine and Endocrinology, UZ Brussel, Vrije Universiteit Brussel</wicri:regionArea></affiliation></author><author><name sortKey="Pipeleers, Lissa" sort="Pipeleers, Lissa" uniqKey="Pipeleers L" first="Lissa" last="Pipeleers">Lissa 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Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel</wicri:regionArea></affiliation></author><author><name sortKey="Engelborghs, Sebastiaan" sort="Engelborghs, Sebastiaan" uniqKey="Engelborghs S" first="Sebastiaan" last="Engelborghs">Sebastiaan Engelborghs</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel</wicri:regionArea></affiliation></author></analytic><series><title level="j">Interdisciplinary neurosurgery : Advanced techniques and case management</title><idno type="ISSN">2214-7519</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) usually causes fever, respiratory symptoms, malaise and myalgia. Recent observations suggested possible neurological complications of COVID-19, including the first report of suspected viral encephalitis. We report a case of a 29-year-old male with -on nasopharyngeal testing- confirmed SARS-CoV-2 infection with severe respiratory symptoms, followed by clinical and radiological signs of encephalitis. Magnetic resonance imaging (MRI) of the brain showed an asymmetric FLAIR-hyperintensity of the left medial temporal cortex associated with mild gyral expansion. Lumbar puncture was normal and PCR's for SARS-CoV-2 virus on CSF were negative. Clinicians treating SARS-CoV-2 infected patients should be aware of possible neurological complications, like encephalitis. The diagnosis of SARS-CoV-2 encephalitis is difficult as CSF analysis may be normal.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32835017</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2214-7519</ISSN><JournalIssue CitedMedium="Print"><Volume>22</Volume><PubDate><Year>2020</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Interdisciplinary neurosurgery : Advanced techniques and case management</Title><ISOAbbreviation>Interdiscip Neurosurg</ISOAbbreviation></Journal><ArticleTitle>Encephalitis associated with the SARS-CoV-2 virus: A case report.</ArticleTitle><Pagination><MedlinePgn>100821</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.inat.2020.100821</ELocationID><Abstract><AbstractText>The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) usually causes fever, respiratory symptoms, malaise and myalgia. Recent observations suggested possible neurological complications of COVID-19, including the first report of suspected viral encephalitis. We report a case of a 29-year-old male with -on nasopharyngeal testing- confirmed SARS-CoV-2 infection with severe respiratory symptoms, followed by clinical and radiological signs of encephalitis. Magnetic resonance imaging (MRI) of the brain showed an asymmetric FLAIR-hyperintensity of the left medial temporal cortex associated with mild gyral expansion. Lumbar puncture was normal and PCR's for SARS-CoV-2 virus on CSF were negative. Clinicians treating SARS-CoV-2 infected patients should be aware of possible neurological complications, like encephalitis. The diagnosis of SARS-CoV-2 encephalitis is difficult as CSF analysis may be normal.</AbstractText><CopyrightInformation>© 2020 Published by Elsevier B.V.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vandervorst</LastName><ForeName>Fenne</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guldolf</LastName><ForeName>Kaat</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peeters</LastName><ForeName>Ilse</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vanderhasselt</LastName><ForeName>Tim</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Radiology, UZ Brussel, Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Michiels</LastName><ForeName>Kathleen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berends</LastName><ForeName>Kinge Johanna</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, UZ Brussel, Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Laethem</LastName><ForeName>Johan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine and Endocrinology, UZ Brussel, Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pipeleers</LastName><ForeName>Lissa</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Nephrology, UZ Brussel, Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vincken</LastName><ForeName>Stefanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Pneumology, UZ Brussel, Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seynaeve</LastName><ForeName>Laura</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Engelborghs</LastName><ForeName>Sebastiaan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, UZ Brussel and Center for Neurosciences (C4N), Vrije Universiteit Brussel, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Interdiscip Neurosurg</MedlineTA><NlmUniqueID>101648481</NlmUniqueID><ISSNLinking>2214-7519</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Encephalitis</Keyword><Keyword MajorTopicYN="N">Hydroxychloroquine</Keyword><Keyword MajorTopicYN="N">Neurological complications</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword></KeywordList><CoiStatement>The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32835017</ArticleId><ArticleId IdType="doi">10.1016/j.inat.2020.100821</ArticleId><ArticleId IdType="pii">S2214-7519(20)30382-0</ArticleId><ArticleId IdType="pii">100821</ArticleId><ArticleId IdType="pmc">PMC7347479</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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