Wittock E, Van Den Bossche M J A
Tijdschr Psychiatr. 2020;62(12):1014-1019.
Early descriptions about the presentation of COVID-19 focused primarily on respiratory symptoms. However, we now know that COVID-19 can also present with one or more atypical symptom(s). With this case-report we want to draw attention to atypical presentations of COVID-19 that can occur in psychiatric practice, especially in the elderly. We report the case of an elderly woman with an atypical presentation of a COVID-19 pneumonia, namely without the often mentioned respiratory symptoms, gastrointestinal symptoms or fever, but with acute confusion. It is important to swiftly consider the possibility of a COVID-19 infection in (elderly) patients who present with delirium, as missing an infection can have important negative consequences, both for the treatment of the patient and for further spread within the (hospital) environment.
关于新型冠状病毒肺炎（COVID-19）临床表现的早期描述主要集中在呼吸道症状上。然而，我们现在知道，COVID-19也可能表现出一种或多种非典型症状。通过本病例报告，我们希望引起人们对COVID-19非典型表现的关注，这些表现可能出现在精神科实践中，尤其是在老年人中。我们报告了一例老年女性COVID-19肺炎的非典型表现，即没有经常提到的呼吸道症状、胃肠道症状或发热，而是伴有急性意识模糊。对于出现谵妄的（老年）患者，迅速考虑COVID-19感染的可能性很重要，因为漏诊感染可能对患者治疗以及在（医院）环境中的进一步传播产生重要的负面后果。
