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Isolated Chronic Aseptic Meningitis Due to Sars-Cov-2 Unresponsive to Ordinary Treatments Publisher



Karimi A1 ; Tabatabaei SR1 ; Shariatpanahi G2, 3 ; Javadzadeh M4 ; Armin S1 ; Yeganeh Z1
Authors
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Authors Affiliations
  1. 1. Pediatric Infections Research Center, Research Institude for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. School of Medicine, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Infectious Department, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: Archives of Pediatric Infectious Diseases Published:2022


Abstract

Serious, and sometimes, deadly complications of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are devastating. Whereas most manifestations of COVID-19 are respiratory (fever, dry cough, fatigue, pneumonia), it is getting to be progressively recognized that numerous organ functions can be affected by this disease, and the nervous system is one of them as neurological complications can affect up to 36% of adult patients. However, the prevalence and pathophysiology of these complications have yet to be fully elucidated in children. Here, we discuss an infant with neurological symptoms manifested as chronic isolated aseptic meningitis associated with COVID-19, which was unresponsive to ordinary treatments and dramatically responsive to dexamethasone. Immune-mediated reactions may have had a major pathophysiologic role in this case. © 2021, Author(s).
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