An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
UMass Chan Affiliations
Department of Emergency MedicineDocument Type
Journal ArticlePublication Date
2020-08-01Keywords
COVID-19novel coronavirus
meningitis
shingles
presenting symptoms
Emergency Medicine
Infectious Disease
Virus Diseases
Metadata
Show full item recordAbstract
INTRODUCTION: As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads across the globe, physicians face the challenges of a contagious pandemic including which patients to isolate, how to conserve personal protective equipment, and who to test. The current protocol at our hospital is to place anyone with new cough, dyspnea, or fever into airborne and contact precautions and consider them for testing. Unfortunately, the symptomatic presentations of coronavirus disease 2019 (COVID-19) are proving more variable than previously thought. CASE REPORT: Our case of COVID-19 presented with headache and then progressed to a meningitis-like illness with co-existing shingles rash. CONCLUSION: COVID-19 can have a variety of initial presentations that are not the classic respiratory symptoms and fever. These presenting symptoms of COVID-19 can include a meningitis-like illness, as our case report indicates. The wide variety of presentations of COVID-19 may warrant widespread testing to identify cases, protect healthcare workers, and prevent the spread of this pandemic.Source
Packwood R, Galletta G, Tennyson J. An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles. Clin Pract Cases Emerg Med. 2020 Aug;4(3):316-320. doi: 10.5811/cpcem.2020.4.47557. PMID: 32926675; PMCID: PMC7434230. Link to article on publisher's site
DOI
10.5811/cpcem.2020.4.47557Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29669PubMed ID
32926675Related Resources
Rights
Copyright: © 2020 Packwood et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/ licenses/by/4.0/Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.5811/cpcem.2020.4.47557
Scopus Count
Except where otherwise noted, this item's license is described as Copyright: © 2020 Packwood et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/
licenses/by/4.0/