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A Case Report of Coronavirus Disease 2019 Presenting with Tremors and Gait Disturbance

Sharon Klein, Frederick Davis, Adam E. Berman, Shruti Koti, John D’Angelo, Nancy Kwon

2020Clinical Practice and Cases in Emergency Medicine14 citationsDOIOpen Access PDF

Abstract

INTRODUCTION: Neurologic symptoms present as significant complications of coronavirus disease 2019 (COVID-19) infection. This report describes a novel manifestation of tremors triggered by severe acute respiratory syndrome coronavirus 2 infection. CASE PRESENTATION: We describe a case of a 46-year-old man with COVID-19 infection complicated by a bilateral intention tremor and wide-based gait. Although neurological manifestations have been reported related to COVID-19, tremulousness has not yet been described. CONCLUSION: Considering the evolving diversity of neurologic manifestations in this infection, emergency physicians should be vigilant of possible COVID-19 infection in patients presenting with unexplained neurologic symptoms.

Topics & Concepts

Disturbance (geology)Gait DisturbanceCoronavirus disease 2019 (COVID-19)GaitCoronavirusPhysical medicine and rehabilitationDiseaseSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakMedicineVirologyBiologyInfectious disease (medical specialty)OutbreakInternal medicinePaleontologyLong-Term Effects of COVID-19Autoimmune Neurological Disorders and TreatmentsPharmacological Receptor Mechanisms and Effects