A Case Report of Acute Transverse Myelitis Following Novel Coronavirus Infection

Author:

Sarma Deesha1,Bilello Leslie1

Affiliation:

1. Harvard Medical School, Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts

Abstract

Introduction: During the coronavirus disease 2019 (COVID-19) pandemic, emergency providers are not only seeing an increasing number of patients with COVID-19 infections, but also associated complications and sequelae of this viral illness. Case Report: We present the case of a 28-year-old female patient who presented after a confirmed COVID-19 infection with lower back pain, bilateral symmetric upper and lower extremity numbness, and urinary retention. The patient was diagnosed with acute transverse myelitis. She required intravenous corticosteroids and plasma exchange with significant improvement in symptoms and minimal residual effects. Conclusion: This case illustrates the importance of prompt recognition and treatment of sequelae of COVID-19 infections.

Publisher

Western Journal of Emergency Medicine

Subject

General Medicine

Reference8 articles.

1. World Health Organization. Coronavirus 2019 disease (COVID-19) situation report - 85. 2020. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200414-sitrep-85-covid-19.pdf?sfvrsn=7b8629bb_4. Accessed April 23, 2020.

2. World Health Organization. Coronavirus 2019 disease (COVID-19) situation report - 41. 2020. Available at https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200301-sitrep-41-covid-19.pdf?sfvrsn=6768306d_2. Accessed April 23, 2020.

3. Jacob A and Weinshenker BG. An approach to the diagnosis of acute transverse myelitis. Semin Neurol. 2008;28(1):105-20. 

4. Sui V, Seals M, Pope B, et al. Idiopathic transverse myelitis: observations from 60 clinical cases at UAB. Neurology. 2019;92(15):P1.2-0.77. 

5. Kerr DA and Ayetey H. Immunopathogenesis of acute transverse myelitis. Curr Opin Neurol. 2002;15(3):339-47. 

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