• Walid A Alkeridy, Ibrahim Almaghlouth, Rashed Alrashed, Khalid Alayed, Khalifa Binkhamis, Aynaa Alsharidi, and Teresa Liu-Ambrose.
• Department of Medicine, King Saud University, Riyadh, Saudi Arabia.
• J Am Geriatr Soc. 2020 Jul 1; 68 (7): 1382-1384.

ObjectiveInfection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), manifests with a wide spectrum of presentations. Most reports of COVID-19 highlight fever and upper respiratory symptoms as the dominant initial presentations, consistent with the World Health Organization guidelines regarding suspected SARS-CoV-2 infection. However, atypical presentations of this disease have been evolving since the initial outbreak of the pandemic in December 2019. We report a case of an older male patient who presented at our hospital with an unusual manifestation of COVID-19.DesignBrief report.SettingA university hospital in Saudi Arabia.ParticipantA 73-year-old man who presented with confusion in the absence of any respiratory symptoms or fever.InterventionThe patient was initially admitted with delirium and underwent a further work-up.MeasurementsGiven his recent history of domestic travel and the declaration of a global COVID-19 pandemic status, the patient was administered a swab test for SARS-CoV-2.ResultsThe patient's positive test led to a diagnosis of COVID-19. Although he began to experience a spiking fever and mild upper respiratory symptoms, he recovered rapidly with no residual sequela.ConclusionThe recognition of atypical presentations of COVID-19 infection, such as delirium, is critical to the timely diagnosis, provision of appropriate care, and avoidance of outbreaks within healthcare facilities during this pandemic. J Am Geriatr Soc 68:1382-1384, 2020.© 2020 The American Geriatrics Society.

17 keywords...

hide…