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Case report
Neuropathic pain post-COVID-19: a case report
  1. Matthew McWilliam1,
  2. Michael Samuel2,3 and
  3. Fadi Hasan Alkufri1,3
  1. 1Neurology, Kent and Canterbury Hospital, Canterbury, UK
  2. 2Neurology, William Harvey Hospital, Ashford, UK
  3. 3Neurology, King's College London, London, UK
  1. Correspondence to Dr Fadi Hasan Alkufri; fadi.alkufri{at}nhs.net

Abstract

A 61-year-old man with no significant medical history developed fever, headache and mild shortness of breath. He tested positive for SARS-CoV-2 and self-isolated at home, not requiring hospital admission. One week after testing positive, he developed acute severe burning pain affecting his whole body, subsequently localised distally in the limbs. There was no ataxia or autonomic failure. Neurological examination was unremarkable. Electrophysiological tests were unremarkable. Skin biopsy, lumbar puncture, enhanced MRI of the brachial plexus and MRI of the neuroaxis were normal. His pain was inadequately controlled with pregabalin but improved while on a weaning regimen of steroids. This case highlights the variety of possible symptoms associated with SARS-CoV-2 infection.

  • COVID-19
  • pain (neurology)
  • neurology

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-243459

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    Footnotes

    • Contributors FHA conceived the manuscript, MM wrote the draft. FHA and MS reviewed the draft, contributed to the content and approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.