| خلاصه مقاله | Introduction:
The SARS-CoV-2 virus infects various cells in the body, including those of the lungs, heart, nose, mouth, and tongue, as well as neurons. This can cause several neurological clinical symptoms, such as headaches, seizures, and loss of smell and taste. This study presents a rare case report of finger paresthesia as a neurological manifestation of COVID-19 disease.
Case presentation:
The patient, a 23-year-old man from Tabriz, tested positive for COVID-19 on 2022-08-13 despite receiving three doses of AstraZeneca’s vaccine. He was subsequently quarantined from 2022-08-13 to 2022-08-17. The individual experienced symptoms such as a headache, body pain, a fever of 38.5, fatigue, severe sore throat, and Erythema of the posterior oropharynx. On the seventh day of illness, he also lost his sense of smell and taste. Additionally, he experienced numbness in half of his 4th finger and the entire 5th finger on the right hand. Betamethasone 4mg/ml, Chlorpheniramine Maleate 10mg/ml, Acetaminophen 500mg, Vitamin D3 50000iu, Naproxen 250mg, Famotidine 40mg, Diphenhydramine 12.5mg/5ml and N Acetyl Cysteine 600mg were prescribed to the patient. After recovering from the disease, lack of smell and taste and numbness of the fingers persisted for two weeks. Complete recovery occurred after one month.
Discussion and Conclusion:
Infection of nerve cells and uncontrolled immune responses cause this virus to show unusual symptoms and complications so that this virus can involve the ulnar nerve and cause tingling and numbness in the 4th and 5th fingers. Paying attention to unusual symptoms and monitoring patients can prevent further reduction of patients' quality of life. |