Case report
A 60-year-old man with no significant medical history, presented to the
hospital owing to shortness of breath and fever. Physical examination
showed the signs of dehydration, blood pressure of 120/60 mm Hg, and
temperature of 38, 5°. Respiratory frequency was as 15 cycles/min and
saturation measured a 90%.
The patient was fully conscious with normal neurological examination.
Polymerase chain reaction (PCR) on a nasal swab confirmed COVID-19
diagnosis.
Biological analysis showed a leucopenia.
The patient received oral macrolides, multivitamins and zinc with oral
rehydration, non antibiotics were prescribed.
In the following days, showed a decreased GCS at 9, fixed and dilated
left pupil.
CT of the brain revealed subdural left heamatoma with swirl sign
(figure1), fluid-fluid levels(figure 2) associated to subfalcine brain
herniation(figure 3).
The patient did not undergo surgery because of bad prognosis.