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{
    "pk": 984,
    "title": "COVID-19 Presenting as Encephalopathy in the Emergency Department: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nThe severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the etiology of the coronavirus disease 2019 (COVID-19) pandemic, has proven to be an era-defining illness with profound impact on patients and healthcare providers alike. By nearly all measures, daily cases and deaths are growing on a global scale despite conscious infection control efforts. As the medical community strives to better understand the pathogenesis of COVID-19, it has become increasingly appreciated that this “respiratory virus” can present clinically with a wide range of signs and symptoms not necessarily confined to the respiratory system.\n \nCase Report: \nSpecifically, the central nervous system has been described as the presenting complaint of COVID-19, including anosmia and headaches and, more rarely, meningitis. This clinical case highlights the presentation of a 52-year-old male who presented to the emergency department with altered mental status and fever, ultimately attributed to COVID-19 infection.\n \nConclusion: \nThis case serves to add to the growing body of evidence surrounding the potentially severe neuropathologic capabilities of the novel SARS-CoV-2 virus.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "COVID-19"
        },
        {
            "word": "encephalopathy"
        },
        {
            "word": "neuropathic"
        },
        {
            "word": "fever"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/16v7r7rk",
    "frozenauthors": [
        {
            "first_name": "Travis",
            "middle_name": "B.",
            "last_name": "Goodloe III",
            "name_suffix": "",
            "institution": "University of Alabama Birmingham, Department of Emergency Medicine, Birmingham, Alabama",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "A.",
            "last_name": "Walter",
            "name_suffix": "",
            "institution": "University of Alabama Birmingham, Department of Emergency Medicine, Birmingham, Alabama",
            "department": "None"
        }
    ],
    "date_submitted": "2021-01-27T13:26:11+08:00",
    "date_accepted": "2021-01-27T13:26:11+08:00",
    "date_published": "2021-01-27T13:27:32+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/984/galley/732/download/"
        }
    ]
}