We read with interest the recent letter to the Editor-in-Chief about SARS-CoV-2 [1]. We wanted to highlight in this letter that although SARS-CoV-2 has a preferential pulmonary and gastrointestinal tropism, it also has systemic and possible neurological effects [2]. We describe the case of a COVID-19 patient presenting to our hospital with newly diagnosed acute-onset tetraparesis in an attempt to increase awareness.

A 22-year-old woman, affected by type I diabetes mellitus, presented to our emergency with worsening dyspnea, fever, and loss of consciousness (Glasgow Coma Scale 6). The first blood investigation showed a state of ketoacidosis (pH 7.05), hypocapnia, and hypoxia. Blood glycemia was 744 mg/dL. Table 1 shows blood test trend during patient hospitalization.

Table 1 Patient laboratoristic parameters. This table summarizes patient laboratoristic parameters recorded during hospitalization and subsequent rehabilitation period.
Full size table

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