An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles

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...

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Main Authors: Rebecca Packwood, Gayle Galletta, Joseph Tennyson
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-08-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/3jm2d6g6
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author Rebecca Packwood
Gayle Galletta
Joseph Tennyson
author_facet Rebecca Packwood
Gayle Galletta
Joseph Tennyson
author_sort Rebecca Packwood
collection DOAJ
description 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.
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spelling doaj.art-deea04ec8f30439aa44ebc53a14e0c7d2022-12-21T23:18:21ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-08-014310.5811/cpcem.2020.4.47557cpcem-04-316An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and ShinglesRebecca PackwoodGayle GallettaJoseph TennysonIntroduction: 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.https://escholarship.org/uc/item/3jm2d6g6
spellingShingle Rebecca Packwood
Gayle Galletta
Joseph Tennyson
An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
Clinical Practice and Cases in Emergency Medicine
title An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
title_full An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
title_fullStr An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
title_full_unstemmed An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
title_short An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles
title_sort unusual case report of covid 19 presenting with meningitis symptoms and shingles
url https://escholarship.org/uc/item/3jm2d6g6
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