Cogan’s sign in a patient with suspected post-COVID-19 vaccine-associated myasthenia gravis

oleh: José Wagner Leonel Tavares-Júnior, Manoel Alves Sobreira-Neto, Pedro Braga-Neto

Format: Article
Diterbitkan: Sociedade Brasileira de Medicina Tropical (SBMT) 2023-06-01

Deskripsi

ABSTRACT The Cogan’s sign is indicative of myasthenia gravis. This is the first report of neurological signs in a patient with post-COVID-19 vaccine-associated myasthenia gravis in Brazil. In this case, a previously healthy 68-year-old woman presented with proximal limb weakness, left ptosis, and diplopia 1 month after receiving her fourth dose of the COVID-19 vaccine. Neurological examination revealed the presence of Cogan’s sign, and she recovered rapidly after treatment. To our knowledge, this is the first reported case of myasthenia gravis associated with the COVID-19 vaccine in Brazil.