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New-Onset Seizure as the Only Presentation in a Child With COVID-19

Sabita Bhatta, Abida Sayed, Bandana Ranabhat, Raj Kumar Bhatta, Yogesh Acharya

2020Cureus44 citationsDOIOpen Access PDF

Abstract

We present a child with a new-onset isolated afebrile seizure in coronavirus disease 2019 (COVID-19). This patient, an 11-year-old Hispanic male, was brought to our ED in New York city on May 01, 2020, during the ongoing COVID-19 crisis with seizure. There was no fever and/or respiratory and gastrointestinal complaints. His general and systemic examination did not reveal any abnormality. Similarly, his biochemical profiles were within normal limits, and the radiological study, including a chest X-ray and CT scan, showed normal findings. His polymerase chain reaction (PCR) was positive for SARS-CoV2. The patient was admitted for observation after consultation with pediatric neurology, and his condition progressively improved with anti-seizure medications. This case highlights the need for recognizing an uncommon and atypical presentation in COVID-19 as the new cases are unfolding rapidly across the globe.

Topics & Concepts

MedicineCoronavirus disease 2019 (COVID-19)Presentation (obstetrics)AbnormalityPediatricsPediatric NeurologySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)NeurologyCase presentation2019-20 coronavirus outbreakPandemicDiseasePathologyPsychiatrySurgeryInfectious disease (medical specialty)OutbreakLong-Term Effects of COVID-19Infectious Encephalopathies and EncephalitisCOVID-19 Clinical Research Studies