JMA Journal
Online ISSN : 2433-3298
Print ISSN : 2433-328X
Case Report
Impaired Consciousness in a Coronavirus Disease 2019 Patient Caused by Low Serum Sodium: A Case Report
Kazuhiro AbeTomohito NagaiSayaka OnoMasaru KominoKazuki SatoHikaru NagaharaKazuyuki Nishimura
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JOURNAL OPEN ACCESS

2021 Volume 4 Issue 3 Pages 293-296

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Abstract

A 30 year-old man with a high fever (37.5°C-40°C), vomiting, slurred speech, and mild cognitive impairment was admitted to our Emergency Department. He had traveled from Spain to the UK on business at the end of February 2020. A nasopharyngeal swab was positive by RT-PCR for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but a cerebrospinal fluid (CSF) sample was negative. His neurological abnormalities recovered completely on saline infusion to normalize his low serum sodium level. Although neurological abnormalities in patients with COVID-19 are rare, it is important to distinguish the etiologies including encephalitis, meningitis, or merely electrolyte abnormalities.

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