Abstract
Most children with COVID‐19 show few symptoms and have a mild form of the disease; some pediatrician reported the extra‐pulmonary manifestations in acute COVID‐19 like, neurological and cognitive symptoms with minor instances seizures. However, it has become clear that a small proportion of children need intensive care and it can be very debilitating and lead to long school absences. Our case study report 2.3-year-old child male with head ache with fit and cognitive symptoms, on examination had generalized fatigue, neck stiffness and fever for two days. He had never been to any foreign countries. The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but found in CSF exam without any other finding. A brain MRI showed bilateral front-temporal hypo-perfusion. Neurological manifestations are common and psychosocial stress might lead to clinical neuropsychiatric manifestation. Psychosis may be secondary to viral illness; treatment provided and increased psychosocial stress during pandemics. Improved attention to the possible neuropsychiatric consequences of SARS-CoV-2 viral infection might aid in early identification and better management.
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