Confusion Syndrome During COVID-19: The "Herb" That Hides the Forest?

Asmaa Hazim; Fadil Bakkali; Sara Lhassani; Karim El Aidaoui

doi:10.7759/cureus.17775

Confusion Syndrome During COVID-19: The "Herb" That Hides the Forest?

Cureus. 2021 Sep 6;13(9):e17775. doi: 10.7759/cureus.17775. eCollection 2021 Sep.

Authors

Asmaa Hazim¹, Fadil Bakkali², Sara Lhassani¹, Karim El Aidaoui³

Affiliations

¹ Neurology, Mohamed VI University of Health Sciences, Faculty of Medicine, Cheikh Khalifa Ibn Zayed Hospital, Casablanca, MAR.
² Toxicology Laboratory, Mohamed VI University of Health Sciences, Faculty of Medicine, Cheikh Khalifa Ibn Zayed Hospital, Casablanca, MAR.
³ Intensive Care Unit, Mohammed VI University of Health Sciences, Cheikh Khalifa Ibn Zayed Hospital, Casablanca, MAR.

Abstract

We report the case of potential Dysphania ambrosioides (Silverweed) intoxication in the context of SARS-COV-2 infection in a patient admitted for delirium with Glasgow Coma Score (GCS) of 13/15. This herb was used as an antipyretic to treat COVID-19 persistent fever. The clinical presentation of our patient raised several questions related to the viral or herbal intoxication origin of the confusion syndrome. To our knowledge, this is the first description of toxic encephalopathy after D. ambrosioides ingestionin an adult patient.

Keywords: confusion; covid-19; delirium; dysphania ambrosioides; neurology; toxic encephalopathy..

Publication types

Case Reports