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TitleNeuromyelitis optica spectrum disorder in post COVID-19 infection: An interesting case !
PurposeTo present neuromyelitis optica spectrum disorder may be seen in acute setting of COVID-19 infection or even post-recovery
MethodsA case presentation
ResultsA16-years-old female student from upper Assam, India presented to a tertiary care institute of northeast India with complaints of diminution of vision in right eye for one week. Ascending paralysis can present with respiratory distress in acute COVID-19 infection and may even prove to be fatal. Radio imaging showed demyelinating plaques in central nervous system with spinal cord edema. Serology showed positivity for rheumatoid arthritis, and the patient was managed with steroids and Rituximab.
ConclusionAutoimmunity is also known to play a significant role in the pathogenesis initiating NMOSD and RA. Our patient was given IV steroids with a course of Rituximab. Treatment with Rituximab has been found to be beneficial and should not be stopped before at least two years of therapy.
Conflict of interestNo
Authors 1
Last nameDAS
Initials of first name(s)D
DepartmentUveitis, Ocular Pathology & Neuro-ophthalmology Services
CityGuwahati
CountryIndia
Authors 2
Last nameKuri
Initials of first name(s)GC
DepartmentNeuro-ophthalmology
CityGuwahati
CountryIndia