Impaired Consciousness in a Coronavirus Disease 2019 Patient Caused by Low Serum Sodium: A Case Report
| Autor: | Tomohito Nagai, Sayaka Ono, Kazuyuki Nishimura, Kazuki Sato, Masaru Komino, Kazuhiro Abe, Hikaru Nagahara |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) SARS-CoV-2 business.industry Sodium COVID-19 chemistry.chemical_element Case Report Emergency department neurological manifestation medicine.disease Gastroenterology PCR Cerebrospinal fluid chemistry Internal medicine Vomiting medicine Etiology medicine.symptom business Meningitis Encephalitis |
| Zdroj: | JMA Journal |
| ISSN: | 2433-3298 2433-328X |
| DOI: | 10.31662/jmaj.2021-0023 |
| Popis: | A 30 year-old man with a high fever (37.5°C-40°C), vomiting, slurred speech, and mild cognitive impairment was admitted to our Emergency Department. He had traveled from Spain to the UK on business at the end of February 2020. A nasopharyngeal swab was positive by RT-PCR for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but a cerebrospinal fluid (CSF) sample was negative. His neurological abnormalities recovered completely on saline infusion to normalize his low serum sodium level. Although neurological abnormalities in patients with COVID-19 are rare, it is important to distinguish the etiologies including encephalitis, meningitis, or merely electrolyte abnormalities. |
| Databáze: | OpenAIRE |
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