Open AccessAcute Confusion as an Initial Presentation of SARS-CoV-2 Infection
Author(s) -
Isabel Butt,
Antonio F. Ochoa-Ferraro,
Charlotte Dawson,
Shyam Madathil,
Nandan Gautam,
Vijay Sawlani,
Tarekegn Geberhiwot
Publication year - 2021
Publication title -
journal of clinical neurology/the journal of clinical neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.208
H-Index - 45
eISSN - 2005-5013
pISSN - 1738-6586
DOI - 10.3988/jcn.2021.17.3.363
Subject(s) - delirium , medicine , pneumonia , dementia , pediatrics , disease , intensive care medicine , pandemic , malignancy , prodrome , covid-19 , infectious disease (medical specialty) , psychiatry , psychosis
The respiratory manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been extensively documented. There is emerging evidence that coronavirus disease 2019 (COVID-19) has number of other presenting features which might not be related to the severity of the respiratory disease. We have previously described a case of hypoactive delirium as the first manifestation of COVID-19 without profound lung disease. Here we present five cases of elderly patients, without a prior history of dementia and had no overt COVID-19-related pneumonia, who presented with the acute onset of delirium as the primary manifestation of COVID-19.