Isolated neurological symptoms in a teenager with COVID-19

The recent pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) has affected people in all age groups with varied clinical signs and symptoms. The classic symptoms of fever, cough and difficulty in breathing are uncommon in children with SARS-CoV2 [1]. Concerns for neuropsychiatric manifestations in patients infected with SARS-CoV2 have been increasingly reported in some case series [2-4]. They can range anywhere from vague symptoms of anosmia, dizziness, emotional lability, and headaches to more serious complications such as acute neurological deficits, impaired consciousness, seizures, encephalopathy, and psychosis [4-8]. However, there is a paucity of reported cases in children with neurological symptoms [9,10]. We present a case of an adolescent boy with encephalitis that could be explained by SARS-CoV2 after an initial extensive infectious and neuropsychiatric workup.