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COVID-19 atypical Parsonage-Turner syndrome: a case report

2022; BioMed Central; Volume: 22; Issue: 1 Linguagem: Inglês

10.1186/s12883-022-02622-4

1471-2377

Maria Beatrice Zazzara, Anna Modoni, Alessandra Bizzarro, Alessandra Lauria, Francesca Ciciarello, Cristina Pais, Vincenzo Galluzzo, Francesco Landi, Matteo Tostato, Francesco Landi, Elisa Gremese, Roberto Bernabei, Massimo Fantoni, Antonio Gasbarrini, Carlo Romano Settanni, Serena Porcari, Francesca Benvenuto, Giulia Bramato, Vincenzo Brandi, Angelo Carfì, Francesca Ciciarello, Maria Rita Lo Monaco, Anna Maria Martone, Emanuele Marzetti, Carmen Napolitano, Vincenzo Galluzzo, Francesco Pagano, Cristina Pais, Sara Rocchi, Elisabetta Rota, Andrea Salerno, Matteo Tosato, Marcello Tritto, Riccardo Calvani, Maria Beatrice Zazzara, Lucio Catalano, Anna Picca, Giulia Savera, Roberto Cauda, Rita Murri, Antonella Cingolani, G. Ventura, Eleonora Taddei, Davide Moschese, Arturo Ciccullo, Massimo Fantoni, Leonardo Stella, Giovanni Addolorato, Francesco Franceschi, Geltrude Mingrone, Maria Assunta Zocco, Maurizio Sanguinetti, Paola Cattani, Simona Marchetti, Brunella Posteraro, Michela Sali, Alessandra Bizzarro, Alessandra Lauria, Stanislao Rizzo, Maria Cristina Savastano, Gloria Gambini, Maria Grazia Cozzupoli, Carola Culiersi, Giulio Cesare Passàli, Gaetano Paludetti, Jacopo Galli, Fabrizio Crudo, Giovanni Di Cintio, Ylenia Longobardi, Laura Tricarico, Mariaconsiglia Santantonio, Tiziana Di Cesare, Mariateresa Guarino, Marco Corbò, Stefano Settimi, Dario Antonio Mele, Francesca Brigato, Danilo Buonsenso, Piero Valentini, Dario Sinatti, Gabriella De Rose, Luca Richeldi, Francesco Lombardi, Angelo Calabrese, Francesco Varone, Paolo Maria Leone, Matteo Siciliano, Giuseppe Maria Corbo, Montemurro Giuliano, Mariarosaria Calvello, Enrica Intini, Jacopo Simonetti, Giuliana Pasciuto, Veronica Adiletta, Carmelo Sofia, Maria Angela Licata, Gabriele Sani, Delfina Janiri, Alessio Simonetti, Marco Modica, Silvia Montanari, Antonello Catinari, Beatrice Terenzi, Luigi Natale, Anna Rita Larici, Riccardo Marano, T Pirronti, Amato Infante, Annamaria Paglionico, Luca Petricca, Barbara Tolusso, Stefano Alivernini, Clara Di Mario, Angelo Santoliquido, L. Santoro, Antonio Nesci, Angela Di Giorgio,

Extracellular vesicles in disease

Abstract Background Neurological manifestations of Sars-CoV-2 infection have been described since March 2020 and include both central and peripheral nervous system manifestations. Neurological symptoms, such as headache or persistent loss of smell and taste, have also been documented in COVID-19 long-haulers. Moreover, long lasting fatigue, mild cognitive impairment and sleep disorders appear to be frequent long term neurological manifestations after hospitalization due to COVID-19. Less is known in relation to peripheral nerve injury related to Sars-CoV-2 infection. Case presentation We report the case of a 47-year-old female presenting with a unilateral chest pain radiating to the left arm lasting for more than two months after recovery from Sars-CoV-2 infection. After referral to our post-acute outpatient service for COVID-19 long haulers, she was diagnosed with a unilateral, atypical, pure sensory brachial plexus neuritis potentially related to COVID-19, which occurred during the acute phase of a mild Sars-CoV-2 infection and persisted for months after resolution of the infection. Conclusions We presented a case of atypical Parsonage-Turner syndrome potentially triggered by Sars-CoV-2 infection, with symptoms and repercussion lasting after viral clearance. A direct involvement of the virus remains uncertain, and the physiopathology is unclear. The treatment of COVID-19 and its long-term consequences represents a relatively new challenge for clinicians and health care providers. A multidisciplinary approach to following-up COVID-19 survivors is strongly advised.