MISDIAGNOSIS OF A FULMINANT CASE OF PRIMARY CNS LYMPHOMA DUE TO OF COVID-19 OVERDIAGNOSIS

Background: Novel coronavirus disease 2019 (COVID-19) is a pandemic infection that appeared in December 2019, in Wuhan, China. It has been considered as a multi-systemic disease that could involve central nervous system. We intend to report a case of fulminant primary CNS lymphoma (PCNL) misdiagnosed as COVID-19 infection and led to a delay in treatment. Case presentation: A 75-year-old female was admitted in our hospital due to altered mental status and mild fever. She had a history of tiredness, headache, and low-grade fever presented within two weeks. Her chest CT scan was apparently compatible with pulmonary involvement seen in COVID-19 and she was treated accordingly. Brain CT scan and MRI showed periventricular hyper-dense changes, diffuse brain edema and periventricular enhancing lesions. CSF analysis and brain biopsy confirmed the diagnosis of PCNL. Conclusions: It can be concluded that the in the outbreak of COVID-19 some manifestations of other diseases can be…