Author: Butt, Isabel; Sawlani, Vijay; Geberhiwot, Tarekegn
Title: Prolonged Confusional state as first manifestation of COVIDâ€19 Cord-id: cbwnenjh Document date: 2020_5_20
ID: cbwnenjh
Snippet: A 77 year old gentleman, normally fit and well, was admitted with acute confusion. On admission GCS was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan normal. CXR showed some air space opacification. Investigations revealed hyponatraemia, raised CRP and positive for COVIDâ€19. Treated with antibiotics and intravenous saline, sodium returned to normal. Delirium remained unchanged four weeks post incidence. Neurological manifestations wer
Document: A 77 year old gentleman, normally fit and well, was admitted with acute confusion. On admission GCS was 14/15, vital signs were within the normal limits and bilateral crepitation at the lung base. Head CT scan normal. CXR showed some air space opacification. Investigations revealed hyponatraemia, raised CRP and positive for COVIDâ€19. Treated with antibiotics and intravenous saline, sodium returned to normal. Delirium remained unchanged four weeks post incidence. Neurological manifestations were documented in patients with COVIDâ€19, however no report has shown delirium as a primary manifestation. This case illustrates acute confusion may be the only presenting symptom of COVIDâ€19 without overt lung disease.
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