A case report of nosocomial infection with SARS CoV-2 in a one-year old Meningoencephalitis patient in a tertiary hospital of Bangladesh.

Background: Novel corona virus (SARS-Coronavirus-2: SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. Little information is known about nosocomial infections by SARS-CoV-2 in the initial period. As it spreads across the globe, physicians face the challenges of a contagious pandemic including patient isolation and diagnosis. Case report: We report a case of concurrent meningoencephalitis and COVID-19 infection in a one-year old Bangladeshi patient who was brought a tertiary hospital in Dhaka, Bangladesh due to fever, convulsion and neck stiffness accompanied by unconsciousness later. CT SCAN of brain showed excessive encephalopathic change in both cerebral hemispheres with moderate communicating hydrocephalus, suggesting meningoencephalitis. During his hospitalization, he became infected with SARS-CoV-2 which was confirmed by RT-PCR.Conclusion: SARS-CoV-2 can be rapidly transmitted patient-to patient regardless of whether they have symptoms or not. Each hospital must differentiate patients with known or suspected COVID 19 infection from patients with a low probability COVID-19 infection in order to limit direct or indirect transmission.