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Presentation of Covid-19 Infection With Bizarre Behavior and Encephalopathy: A Case Report Publisher Pubmed



Teimourijervekani Z1 ; Salmasi M2
Authors
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Authors Affiliations
  1. 1. Cardiac Rehabilitation Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Internal Medicine Department, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Medical Case Reports Published:2021


Abstract

Background: Current studies show that patients with severe coronavirus disease 2019 (COVID-19) have neurological symptoms manifesting as acute cerebrovascular diseases, impaired consciousness, and skeletal muscle symptoms. Bizarre behavior is an unusual and unique presenting symptom of COVID-19 infection in our patient. Case presentation: We report a case of COVID-19 infection in a middle aged Iranian man without underlying disease who presented with bizarre behavior. Results of brain imaging were normal, but COVID-19 pneumonia was detected on chest computed tomography scan. Given the respiratory problem and positive polymerase chain reaction (PCR) test for COVID-19, treatment with hydroxychloroquine was administered, and after 2 days all of the symptoms resolved. Conclusions: Encephalopathy and encephalitis may be a possible presentation of COVID-19. Clinicians and health care providers should consider the presence of COVID-19 with bizarre behavior during this COVID-19 pandemic. © 2021, The Author(s).
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