Brain stem infarction as a complication of probable meningitis/encephalitis associated with COVID-19: A case report from Lombok, West Nusa Tenggara

04/02/2021

Authors: Ilsa Hunaifi, Karina Anindita, Elya Endriani, Sri Kartika Sari, Ririn Setyawati, Indah Widya Astuti, Sandra Yuliana Andini Putri, Zainul Muttaqin

In Case Report

AbstractCoronavirus disease 2019 (COVID-19), firstly discovered in Wuhan, China, has spread globally and was declared by the World Health Organization (WHO) as a pandemic since March 11, 2020. By June 13, 2020, the number of Covid cases in Indonesiawas 37420 with 2091 mortality cases. Lombok is situated in the province of West Nusa Tenggara, currently the number of Covid-19 cases 937. We report a case of probable meningitis/encephalitis associated with COVID-19 with symptoms of fever, headache, and cough. The patient was brought to the Emergency Room with decreased of consciousness, seizures, and neck rigidity. The thoracic examination and head computed tomography (CT) scan revealed pneumonia and brain stem infarction, respectively. Nasopharyngeal swab examination was performed and identified the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ribonucleic acid (RNA) leading to meningitis due to COVID-19.