A first case of meningitis/encephalitis associated with SARS-Coronavirus-2
•Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly.•This is the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance.•The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was...
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| Published in | International journal of infectious diseases Vol. 94; pp. 55 - 58 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Canada
Elsevier Ltd
01.05.2020
The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases Elsevier |
| Subjects | |
| Online Access | Get full text |
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| Abstract | •Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly.•This is the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance.•The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF.•This case warns the physicians of patients who have CNS symptoms.
Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day 2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found that he was unconsciousness and lying on the floor in his vomit. He was immediately transported to this hospital by ambulance (day 9). Under emergency transport, he had transient generalized seizures that lasted about a minute. He had obvious neck stiffness. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. Anti- HSV 1 and varicella-zoster IgM antibodies were not detected in serum samples. A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis. This case warns the physicians of patients who have CNS symptoms. |
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| AbstractList | •Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly.•This is the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance.•The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF.•This case warns the physicians of patients who have CNS symptoms.
Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day 2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found that he was unconsciousness and lying on the floor in his vomit. He was immediately transported to this hospital by ambulance (day 9). Under emergency transport, he had transient generalized seizures that lasted about a minute. He had obvious neck stiffness. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. Anti- HSV 1 and varicella-zoster IgM antibodies were not detected in serum samples. A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis. This case warns the physicians of patients who have CNS symptoms. Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day 2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found that he was unconsciousness and lying on the floor in his vomit. He was immediately transported to this hospital by ambulance (day 9). Under emergency transport, he had transient generalized seizures that lasted about a minute. He had obvious neck stiffness. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. Anti- HSV 1 and varicella-zoster IgM antibodies were not detected in serum samples. A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis. This case warns the physicians of patients who have CNS symptoms. • Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. • This is the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance. • The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. • This case warns the physicians of patients who have CNS symptoms. Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day 2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found that he was unconsciousness and lying on the floor in his vomit. He was immediately transported to this hospital by ambulance (day 9). Under emergency transport, he had transient generalized seizures that lasted about a minute. He had obvious neck stiffness. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. Anti- HSV 1 and varicella-zoster IgM antibodies were not detected in serum samples. A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis. This case warns the physicians of patients who have CNS symptoms. Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day 2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found that he was unconsciousness and lying on the floor in his vomit. He was immediately transported to this hospital by ambulance (day 9). Under emergency transport, he had transient generalized seizures that lasted about a minute. He had obvious neck stiffness. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. Anti- HSV 1 and varicella-zoster IgM antibodies were not detected in serum samples. A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis. This case warns the physicians of patients who have CNS symptoms.Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. We report the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance due to a convulsion accompanied by unconsciousness. He had never been to any foreign countries. He felt generalized fatigue and fever (day 1). He saw doctors nearby twice (day 2 and 5) and was prescribed Laninamivir and antipyretic agents, His family visited his home and found that he was unconsciousness and lying on the floor in his vomit. He was immediately transported to this hospital by ambulance (day 9). Under emergency transport, he had transient generalized seizures that lasted about a minute. He had obvious neck stiffness. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. Anti- HSV 1 and varicella-zoster IgM antibodies were not detected in serum samples. A brain MRI showed hyperintensity along the wall of right lateral ventricle and hyperintense signal changes in the right mesial temporal lobe and hippocampus, suggesting the possibility of SARS-CoV-2 meningitis. This case warns the physicians of patients who have CNS symptoms. |
| Author | Ito, Masami Suzuki-Inoue, Katsue Enomoto, Nobuyuki Harada, Daiki Ogihara, Shinji Sugawara, Hisanori Kondo, Kengo Goto, Junko Kinouchi, Hiroyuki Harii, Norikazu Ishihara, Hiroshi Ueno, Masateru Moriguchi, Takeshi Onishi, Hiroshi Sasaki, Yu Shimada, Shinji Shimizu, Tatsuya Sakata, Hiroki Yamamoto, Tomoko Nakao, Atsuhito Inoue, Osamu Takamino, Junichi Furuya, Shiomi Myose, Natsuhiko Kojin, Hiroyuki Takeda, Masayuki Kubokawa, Kayo Haro, Hirotaka Sasaki, Tomoyuki |
| Author_xml | – sequence: 1 givenname: Takeshi surname: Moriguchi fullname: Moriguchi, Takeshi email: tmoriguchi@yamanashi.ac.jp organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 2 givenname: Norikazu surname: Harii fullname: Harii, Norikazu organization: Department of Community and Family Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 3 givenname: Junko surname: Goto fullname: Goto, Junko organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 4 givenname: Daiki surname: Harada fullname: Harada, Daiki organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 5 givenname: Hisanori surname: Sugawara fullname: Sugawara, Hisanori organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 6 givenname: Junichi surname: Takamino fullname: Takamino, Junichi organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 7 givenname: Masateru surname: Ueno fullname: Ueno, Masateru organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 8 givenname: Hiroki surname: Sakata fullname: Sakata, Hiroki organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 9 givenname: Kengo surname: Kondo fullname: Kondo, Kengo organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 10 givenname: Natsuhiko surname: Myose fullname: Myose, Natsuhiko organization: Department of Emergency and Critical Care Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 11 givenname: Atsuhito surname: Nakao fullname: Nakao, Atsuhito organization: Dean, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 12 givenname: Masayuki surname: Takeda fullname: Takeda, Masayuki organization: Department of Urology, University of Yamanashi, Graduate School of Medical Sciences, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 13 givenname: Hirotaka surname: Haro fullname: Haro, Hirotaka organization: Department of Orthopaedic Surgery, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 14 givenname: Osamu surname: Inoue fullname: Inoue, Osamu organization: Division of Infection Control and Prevention, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 15 givenname: Katsue surname: Suzuki-Inoue fullname: Suzuki-Inoue, Katsue organization: Department of Clinical and Laboratory Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 16 givenname: Kayo surname: Kubokawa fullname: Kubokawa, Kayo organization: Department of Nursing, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 17 givenname: Shinji surname: Ogihara fullname: Ogihara, Shinji organization: Central Laboratory Unit/Division of Infection Control and Prevention, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 18 givenname: Tomoyuki surname: Sasaki fullname: Sasaki, Tomoyuki organization: Department of Clinical and Laboratory Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 19 givenname: Hiroyuki surname: Kinouchi fullname: Kinouchi, Hiroyuki organization: Department of Neurosurgery, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 20 givenname: Hiroyuki surname: Kojin fullname: Kojin, Hiroyuki organization: Department of Clinical Quality and Medical Safety Management, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 21 givenname: Masami surname: Ito fullname: Ito, Masami organization: Department of Clinical Quality and Medical Safety Management, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 22 givenname: Hiroshi surname: Onishi fullname: Onishi, Hiroshi organization: Department of Radiology, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 23 givenname: Tatsuya surname: Shimizu fullname: Shimizu, Tatsuya organization: Department of Radiology, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 24 givenname: Yu surname: Sasaki fullname: Sasaki, Yu organization: Department of Radiology, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 25 givenname: Nobuyuki surname: Enomoto fullname: Enomoto, Nobuyuki organization: First Department of Internal Medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 26 givenname: Hiroshi surname: Ishihara fullname: Ishihara, Hiroshi organization: Second Department of Internal medicine, University of Yamanashi, Faculty of Medicine, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 27 givenname: Shiomi surname: Furuya fullname: Furuya, Shiomi organization: Department of Clinical Quality and Medical Safety Management, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 28 givenname: Tomoko surname: Yamamoto fullname: Yamamoto, Tomoko organization: Department of Clinical Quality and Medical Safety Management, University of Yamanashi Hospital, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan – sequence: 29 givenname: Shinji surname: Shimada fullname: Shimada, Shinji organization: President, University of Yamanashi, 1110, Shimokato, Chuo, Yamanashi, 409-3898 Japan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32251791$$D View this record in MEDLINE/PubMed |
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