Department of Internal Medicine, University of Health Sciences, Lahore, Pakistan.
Khyber Medical College Peshawar, Hayatabad Medical Complex, Peshawar, Pakistan.
Front Public Health. 2020 Sep 22;8:474. doi: 10.3389/fpubh.2020.00474. eCollection 2020.
The common presenting symptoms of fever, fatigue, and mild respiratory symptoms like dry cough, are associated with COVID-19, however, patients can also develop neurological manifestations like headache, anosmia, hyposmia, dysgeusia, meningitis, encephalitis, and acute cerebrovascular accidents during the disease. Although very rare, these neurological manifestations are sometimes the sole initial presenting complaint of COVID-19. This case report discusses patients where the initial presenting symptoms seemed to be exclusive to meningitis but the later diagnosis was COVID-19. It is important to increase awareness of these rare presentations in physicians and healthcare workers and facilitate early diagnosis and management to prevent the horizontal spread of the disease.
发热、乏力、干咳等常见的呼吸道症状是 COVID-19 的主要表现，但患者也可出现头痛、嗅觉丧失、嗅觉减退、味觉障碍、脑膜炎、脑炎和急性脑血管意外等神经系统表现。尽管这些神经系统表现非常罕见，但有时却是 COVID-19 的唯一首发症状。本病例报告讨论了一些患者，其首发症状似乎仅为脑膜炎，但后来的诊断却是 COVID-19。提高医生和医护人员对这些罕见表现的认识，并促进早期诊断和管理，对于防止疾病的横向传播非常重要。
