The severity of coronavirus disease 2019 (COVID-19) has been frequently associated with acute respiratory distress syndrome. In this case report, an atypical presentation of COVID-19 in young with a thromboembolic event is reported. The patient initially presented with fever of unknown origin not responding to therapy. On examination, visual acuity was 20/20 in both eyes with bilateral disc oedema and disc haemorrhage in the right eye. Erythrocyte sedimentation rate, C-reactive protein and D-Dimer were elevated. Magnetic resonance venography (MRV) revealed features suggestive of cerebral venous thrombosis. Timely diagnosis and intervention have prevented a fatal outcome.

Background Filariasis is a tropical vector-borne disease seen predominantly in endemic areas, and the most common presentation is a lymphatic disorder in the form of lymphangiectasia. This case describes the breast as one of the uncommon sites of involvement by the filarial worm. Case presentation We report an uncommon case of breast filariasis with chief complaints of a nodular lump in the breast. Conclusions As symptoms of breast filariasis can mimic breast malignancy, appropriate diagnosis using real-time ultrasound plays a crucial role to reduce psychological stress on the patient and also helps in planning treatment.

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