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

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.