急性播散性脑脊髓炎作为新型冠状病毒肺炎的首发表现：一例病例报告
Acute disseminated encephalitis (ADEM) as the first presentation of COVID-19; a case report.
作者信息
Esmaeili Sara, Abbasi Mohammad Hossein, Joghataei Mohammad Taghi, Mirzaasgari Zahra, Emamikhah Maziar, Makiani Mahin Jamshidi, Nazarian Hossein
机构信息
Firoozgar Clinical Research and Development Center FCRDC, Iran University of Medical Sciences IUMS, Tehran, Iran.
Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Ann Med Surg (Lond). 2022 Mar 28;77:103511. doi: 10.1016/j.amsu.2022.103511. eCollection 2022 May.
INTRODUCTION
and importance: Neurological ailments are reported during and after SARS-COV-2 infection.
CASE PRESENTATION
We report a 67-year-old Iranian man with COVID-19 infection and Acute Disseminated Encephalomyelitis (ADEM) whose neurological symptoms appeared before clinical and radiological pulmonary manifestations.
CLINICAL DISCUSSION
COVID-19 can cause neurological complication without entering the CNS via para infectious inflammatory mechanisms.
CONCLUSIONS
This report shows that ADEM might be among primary presentations of COVID-19.
引言
及重要性：在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染期间及之后有神经系统疾病的报道。
病例报告
我们报告一名67岁的伊朗男性，患有2019冠状病毒病（COVID-19）感染及急性播散性脑脊髓炎（ADEM），其神经症状出现在临床和放射学肺部表现之前。
临床讨论
COVID-19可通过感染后炎症机制导致神经系统并发症，而无需进入中枢神经系统（CNS）。
结论
本报告表明，ADEM可能是COVID-19的主要表现之一。
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