Bajwa Jasdeep Singh, Fu Annabel, Mirabelli Mark H
Departments of Family Medicine and Psychiatry, University of Rochester Medical Center, 777 S Clinton Ave, Rochester NY 14620, USA.
Psychiatry Res Case Rep. 2022 Dec;1(2):100043. doi: 10.1016/j.psycr.2022.100043. Epub 2022 Aug 22.
COVID-19 has many complications that are associated with this infection. Neuropsychiatric symptoms are common and can present with symptoms documented both during acute COVID-19 infection and developing after the resolution of respiratory symptoms. Patients have presented with a variety of symptoms such as anosmia, seizures, cognitive and attention deficits, new or progression of existing anxiety, depression, psychosis, and rarely catatonia. Although rare, catatonia and each of its subtypes have now been reported as complications of COVID-19 and therefore, should be considered known to occur in both during the acute and postinfectious states. Diagnosis of catatonia in the context of COVID-19 should be considered when work-up for more common medical causes of encephalopathy are negative. There have been cases documented in the literature of patients presenting to the hospital with catatonia during COVID-19 infection. However, we present a case of akinetic catatonia in setting of COVID-19 infection and premorbid serious mental illness that was diagnosed and treated on an outpatient basis with close collaboration between primary care and psychiatry.
新冠病毒感染（COVID-19）有许多与之相关的并发症。神经精神症状很常见，可在急性COVID-19感染期间以及呼吸道症状缓解后出现。患者出现了多种症状，如嗅觉丧失、癫痫发作、认知和注意力缺陷、新出现的或原有焦虑、抑郁、精神病症状，以及罕见的紧张症。虽然罕见，但紧张症及其各亚型现已被报告为COVID-19的并发症，因此，应视为在急性期和感染后状态均会出现。当对更常见的脑病病因进行检查为阴性时，应考虑在COVID-19背景下诊断紧张症。文献中有COVID-19感染期间因紧张症入院的病例记录。然而，我们报告了一例在COVID-19感染及病前有严重精神疾病背景下的运动不能性紧张症病例，该病例在初级保健和精神病学密切协作下于门诊得到诊断和治疗。
