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COVID‐19 meningitis without pulmonary involvement with positive cerebrospinal fluid PCR
Author(s) -
Khodamoradi Z.,
Hosseini S. A.,
Gholampoor Saadi M. H.,
Mehrabi Z.,
Sasani M. R.,
Yaghoubi S.
Publication year - 2020
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/ene.14536
Subject(s) - medicine , cerebrospinal fluid , lumbar puncture , vomiting , meningitis , viral meningitis , nausea , pneumonia , pathology , pediatrics , bacterial meningitis
We discuss the case of a 49‐year‐old woman with a past history of hypertension who we diagnosed with COVID‐19 meningitis following two positive CSF RT‐PCR results. In contrast to what was originally believed, the SARS‐CoV‐2 can cause meningitis in isolation, perhaps by crossing the blood‐brain barrier. Hence, it seems essential that physicians maintain a high index of suspicion for neurological involvement among COVID‐19 patients, with early CSF analysis and brain imaging sometimes being indicated.