Gillett George, Jordan Iain
Oxford University Clinical Academic Graduate School, University of Oxford, Oxford, UK
Oxford Psychological Medicine Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
BMJ Case Rep. 2020 Oct 31;13(10):e239191. doi: 10.1136/bcr-2020-239191.
A previously fit and well 37-year-old male healthcare worker presented with confusion, psychotic symptoms and a suicide attempt in the context of a new COVID-19 diagnosis. Following surgical interventions and an extended admission to the intensive care unit, he made a good recovery in terms of both his physical and mental health. A number of factors likely contributed to his presentation, including SARS-CoV-2 infection, severe insomnia, worry, healthcare worker-related stress, and the unique social and psychological stressors associated with the COVID-19 pandemic. This case highlights the need to further characterise the specific psychiatric sequelae of COVID-19 in community settings, and should remind general medical clinicians to be mindful of comorbid psychiatric symptoms when assessing patients with newly diagnosed COVID-19.
一名此前身体健康的37岁男性医护人员，在新冠病毒病（COVID-19）新诊断的背景下，出现了意识模糊、精神症状及自杀未遂情况。经过手术干预及在重症监护病房的长期住院治疗后，他的身心健康均恢复良好。多种因素可能导致了他的症状表现，包括严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染、严重失眠、担忧、医护人员相关压力以及与COVID-19大流行相关的独特社会和心理应激源。该病例凸显了在社区环境中进一步明确COVID-19特定精神后遗症的必要性，同时应提醒普通内科临床医生，在评估新诊断为COVID-19的患者时要留意合并的精神症状。
