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伴有精神病的 COVID-19 谵妄:一例报告

COVID-19 Delirium with Psychosis: A Case Report.

作者信息

Losee Selena, Hanson Hillary

机构信息

Psychiatry Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Avera Medical Group University Psychiatry Associates, Sioux Falls, South Dakota.

出版信息

S D Med. 2020 Aug;73(8):346-349.

Abstract

COVID-19 typically presents as severe pneumonia often requiring intubation and ICU management. Descriptions of the potential neurological symptoms in this disease state exist, but minimal research has been conducted on the prevalence of delirium. This case report describes a patient with no past psychiatric history who developed psychotic symptoms in the context of acute COVID-19 delirium. Clinicians should consider COVID-19 in their differential diagnosis with any patient who presents with psychotic symptoms, even in the absence of the typical COVID-19 symptoms of cough or fever. Rule out of COVID-19 via PCR should be completed on any new delirium case, and appropriate isolation of psychiatric patients should occur until negative results are obtained.

摘要

新冠病毒病(COVID-19)通常表现为严重肺炎,常需插管及入住重症监护病房(ICU)治疗。关于该疾病状态下潜在神经症状的描述已有,但针对谵妄患病率的研究极少。本病例报告描述了一名既往无精神病史的患者,在急性COVID-19谵妄背景下出现了精神病性症状。临床医生在对任何出现精神病性症状的患者进行鉴别诊断时,即使患者没有咳嗽或发热等典型COVID-19症状,也应考虑到COVID-19。对于任何新发谵妄病例,都应通过聚合酶链反应(PCR)排除COVID-19,并且在获得阴性结果之前,应对精神病患者进行适当隔离。

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