A Rare Case of Severe Long COVID-19 in Patient with Amyotrophic Lateral Sclerosis

There is growing interest on coronavirus disease 2019 (COVID-19)-associated neurological manifestations and the interplay of COVID-19 in patients with existing neurological illness.1 We wish to share our rare case of COVID-19-associated neurological manifestations in a patient with amyotrophic lateral sclerosis (ALS). ALS is a neurodegenerative disease with very scarce information suggesting how COVID-19 affects patients with ALS.2,3 Case reports of COVID-19 in ALS are handful in literature and none of them highlights the acute deterioration in respiratory status with acute COVID-19 and the subsequent complications of long COVID-19. To the best of our knowledge, this is the first such reported case.