Acute Disseminated Encephalitis (ADEM) As the First Presentation of COVID-19; a Case Report

Overview

Journal Ann Med Surg (Lond)

Publisher Wolters Kluwer

Specialty Medical Education

Date 2022 Apr 4

PMID 35369575

Authors

Sara Esmaeili

Mohammad Hossein Abbasi

Mohammad Taghi Joghataei

Zahra Mirzaasgari

Maziar Emamikhah

Mahin Jamshidi Makiani

Hossein Nazarian

Affiliations

Soon will be listed here.

Abstract

Introduction: and importance: Neurological ailments are reported during and after SARS-COV-2 infection.

Case Presentation: We report a 67-year-old Iranian man with COVID-19 infection and Acute Disseminated Encephalomyelitis (ADEM) whose neurological symptoms appeared before clinical and radiological pulmonary manifestations.

Clinical Discussion: COVID-19 can cause neurological complication without entering the CNS via para infectious inflammatory mechanisms.

Conclusions: This report shows that ADEM might be among primary presentations of COVID-19.

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The diagnosis of SARS-CoV-2 associated ADEM requires the exclusion of all differential diagnoses.

Finsterer J, Scorza F Ann Med Surg (Lond). 2022; 77:103662.

PMID: 35493414 PMC: 9033291. DOI: 10.1016/j.amsu.2022.103662.

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