由 COVID-19 引起的新发精神病。
New-onset psychosis due to COVID-19.
机构信息
South West London and St George's Mental Health NHS Trust, Roehampton, UK.
South West London and St George's Mental Health NHS Trust, London, UK.
出版信息
BMJ Case Rep. 2021 Apr 26;14(4):e242538. doi: 10.1136/bcr-2021-242538.
Abstract
This is a case report of a middle-aged man with no psychiatric history who presented with severe anxiety and psychotic symptoms from COVID-19. Following his discharge from intensive care unit, he was unable to sleep, was increasingly agitated and was observed hitting his head off the walls, causing haematomas. He remained highly anxious and developed paranoid delusions and auditory and tactile hallucinations, needing admission to a psychiatric ward. Treatment with antipsychotic medication gradually improved his symptoms in a few weeks. This case report highlights the new onset of psychosis due to COVID-19 infection. It demonstrates the importance of early identification and treatment of neuropsychiatric complications within an acute hospital setting. Furthermore, there is a need for research in this area to help in the prevention and treatment of such psychiatric complications due to COVID-19.
摘要
这是一例无精神病史的中年男性病例报告，他因 COVID-19 出现严重焦虑和精神病症状。从重症监护病房出院后，他无法入睡，越来越烦躁不安，被观察到头撞墙，导致血肿。他仍然非常焦虑，出现偏执妄想和听觉和触觉幻觉，需要住院治疗精神科病房。抗精神病药物治疗在几周内逐渐改善了他的症状。本病例报告强调了 COVID-19 感染引起的精神病新发病例。它表明在急性医院环境中早期识别和治疗神经精神并发症的重要性。此外，需要在这一领域进行研究，以帮助预防和治疗 COVID-19 引起的此类精神科并发症。
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