Unusual Presentation of COVID-19 Disease Leading to Respiratory Distress and Coma

  • Julie Paradis Internal Medicine, CHR Haute Senne, Soignies, Belgium
  • Hendrik Kevers Internal Medicine, CHR Haute Senne, Soignies, Begium
  • Soufiane Chebli Internal Medicine, CHR Haute Senne, Soignies, Begium
  • Serge Blum Neurology, CHR Haute Senne, Soignies, Belgium
  • Pascal Reper Critical Care, CHR Haute Senne, Soignies, Belgium; Critical Care department, CHU UCL Namur, Yvoir, Belgium

Keywords

Coma, COVID-19, Guillain-Barré syndrome, respiratory failure

Abstract

Multiple neurological complications including Guillain-Barré syndrome (GBS) have been associated with COVID-19. We describe a case of GBS related to SARS-CoV-2 infection with an unusual presentation beginning with mobilization problems at home without previous classic respiratory or general manifestations. Asymptomatic infection with COVID-19 can lead to critical situations with respiratory insufficiency because of neurological complications such as GBS.

VIEW THE ENTIRE ARTICLE

References

  • Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020;77(6):683–690. doi: 10.1001/jamaneurol.2020.1127. PMID: 32275288.
  • Toscano G, Palmerini F, Ravaglia S, Ruiz L, Invernizzi P, Cuzzoni MG, et al. Guillain-Barré syndrome associated with SARS-CoV-2. N Engl J Med 2020;382(26):2574–2576. doi: 10.1056/NEJMc2009191
  • Wijdicks EF, Klein CJ. Guillain-Barré syndrome. Mayo Clin Proc 2017;92:467–479.
  • Hess DC, Eldahshan W, Rutkowski E. COVID-19-related stroke. Transl Stroke Res 2020;11(3):322–325. doi: 10.1007/s12975-020-00818-9. PMID: 32378030.
  • Kim JE, Heo JH, Kim HO, Song SH, Park SS, Park TH, et al. Neurological complications during treatment of Middle East respiratory syndrome. J Clin Neurol 2017;13:227–233.
  • Published: 2021-04-07

    Issue: 2021: Vol 8 No 4 (view)

    Section: Articles

    How to cite:
    1.
    Paradis J, Kevers H, Chebli S, Blum S, Reper P. Unusual Presentation of COVID-19 Disease Leading to Respiratory Distress and Coma. EJCRIM 2021;8 doi:10.12890/2021_002418.