Open AccessPost-COVID-19 multiple mononeuritis in a patient from a city in São Paulo
Author(s) -
Pedro Gabriel Marcomini,
Ana Luísa Lopes Espínola da Costa Reis,
Mauro Esteves Hernandes,
Pedro Macedo
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.524
Subject(s) - medicine , myopathy , electromyoneurography , ataxia , complication , weakness , mechanical ventilation , covid-19 , dyslipidemia , context (archaeology) , intensive care unit , pediatrics , surgery , intensive care medicine , anesthesia , disease , infectious disease (medical specialty) , paleontology , psychiatry , biology
Context: COVID-19 is a disease capable of harming the entire organism, especially the lungs. It may lead to hospitalization in Intensive Care Units (ICU) and neurological conditions due to the possibility of development of myopathy in critically ill patients (MCIP) and even Multiple Mononeuritis (MM). That disorder presents itself with symmetrical lesions, significant disability, and no evidence of myopathy or demyelination in the electroneuromyography (ENM). Case report: We bring the case of a 57-year-old man with diabetes, systemic arterial hypertension, and dyslipidemia without previous neurological alterations. He was interned in ICU for 31 days because of a COVID-19 infection requiring mechanical ventilation and developed MM proven by ENM after hospital discharge. He presented as symptoms of incoordination, weakness, and gait ataxia. The patient’s ENM exam showed evidence of a reduction in the amplitude of the sensory potentials of all researched nerves and reductions in the values of sensitive nerve conduction on both median and sural nerves. It also exhibited an absence of sensitive response of the left superficial peroneal nerve, bilateral increase in the latency times of the H reflex, and absence of distal responses from both peroneal nerves. Conclusions: COVID-19 is a new entity, and it can cause neurological sequels. Even though MCIP is the primary neurological complication in ICU COVID patients, it is necessary to investigate the possibility of differentials like MM.