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Fulminant cerebral edema as a lethal manifestation of COVID-19
Antoon J M van den Enden1, Lennart van Gils2, Joost A M Labout1
1Department of Intensive Care Medicine, Maasstad Hospital, P. Box 9100, 3007 AC Rotterdam, the Netherlands.
Abstract:
The contribution of neurological symptomatology to morbidity and mortality after infection with Severe Acute Respiratory Syndrome-associated Coronavirus (SARS CoV II) is ill-defined. We hereby present a case of a 57-year old male patient, in excellent physical condition, who was admitted to the Intensive Care Unit (ICU), with respiratory distress duo to SARS CoV II-induced bilateral pneumonia. After 2 weeks at the ICU, with respiratory conditions improving, the patient developed lethal cerebral edema. This case advocates regular wake-up calls in Coronavirus disease 2019 patients for neurological (radiological) evaluation to provide rapid diagnosis and a therapeutic window for fulminant central nervous system complications.
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