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A Young Female with SARS-CoV-2 Infection Presenting with Concurrent Neurological and Pulmonary Manifestations: A Case Report

Authors:

P. T. R. Makuloluwa ,

General Sir John Kotelawala Defence University (KDU), LK
About P. T. R.
Professor in Anaesthesia and Consultant Anaesthetist, Department of Clinical Sciences, Faculty of Medicine
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Kavisha P. Dissanayake,

University Hospital, General Sir John Kotelawala Defence University (KDU), LK
About Kavisha P.

Acting Consultant Anaesthestist, COVID-ICU (4),

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M. M. P. T. Jayasekera

General Sir John Kotelawala Defence University (KDU), LK
About M. M. P. T.
Senior Lecturer in Medicine, Department of Clinical Sciences, Faculty of Medicine
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Abstract

Coronavirus disease 2019 (COVID-19), besides its well-known deleterious effects on the respiratory system, is also reported to affect the central nervous system (CNS), presenting with neurological manifestations, that are commoner among older patients with associated co-morbidities and in the critically ill with COVID pneumonia. Infective, cerebrovascular, and hypoxic-toxic-metabolic etiology have been implicated. Reported outcomes have been poor with persistent neurological deficits among the majority who have survived. We report a young lady who presented with neurological manifestations alongside moderately severe COVID-19 pneumonia. Diagnosed early and managed as severe encephalopathy after excluding infective and cerebrovascular aetiology. Responded well to conservative measures and made a complete recovery. Early recognition of neurological manifestations of COVID- 19 disease followed by the institution of appropriate therapies improved the outcomes.
How to Cite: Makuloluwa, P.T.R., Dissanayake, K.P. and Jayasekera, M.M.P.T., 2023. A Young Female with SARS-CoV-2 Infection Presenting with Concurrent Neurological and Pulmonary Manifestations: A Case Report. Sri Lankan Journal of Anaesthesiology, 31(1), pp.90–94. DOI: http://doi.org/10.4038/slja.v31i1.9071
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Published on 02 May 2023.
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