Isolated limb paraesthesia as initial symptom of Covid-19 infection: A case report

Ezema EC1*, Ezema OO1, Nwobu DC1, Eliakim H1, Nwune CU1
1Advanced Pain Management, Great Neck, NY, US.
2Intensive Care Unit, Long Island Jewish Hospital, Forest Hills, Queens, NY, US.
3Health Information Management, Samaritan Healthcare, Moses Lake, Washington, US.
4Department of Anesthesia, Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria.
5Chemical Pathology Lab, St Joseph Hospital, Adazi, Anambra State, Nigeria.
*Correspondence: Dr. Evaristus Chinonye Ezema; +1347-339-3676; drchinoezema@gmail.com

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Abstract

Background: Neurological symptoms might be associated with a COVID-19 infection. These symptoms are rare in the early presentation of COVID-19. The neurological symptoms and associated diseases reported include headache, loss of taste, smell, meningoencephalitis and acute hemorrhagic necrotizing encephalopathy. These neurological symptoms and diseases occur when the disease is severe with systemic manifestations.
Case Presentation: Our patient reported paresthesia and occasional pain on the left lower limb as the initial symptoms without other signs of viral infection like cough or fever.
Conclusion: Such atypical presentations pose a risk of exposure to health care workers and as such, full PPE should be worn when attending to patients. While post-viral GBS has been reported in COVID-19 infections, isolated paresthesia has not been described as the initial symptom.

Keywords: Neurological symptoms, COVID-19, Paresthesia.

Cite this article: Ezema EC, Ezema OO, Nwobu DC, Eliakim H, Nwune CU. Isolated limb paraesthesia as initial symptom of Covid-19 infection: A case report. Yen Med J. 2021;3(4):227–228.

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