Department of Psychiatry and Psychology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
"Prof. Dr. Alexandru Obregia" Clinical Hospital of Psychiatry, 041914 Bucharest, Romania.
Medicina (Kaunas). 2023 Feb 19;59(2):408. doi: 10.3390/medicina59020408.
Even though since the beginning of the COVID-19 pandemic, the literature became more and more abundant on data and hypotheses about the various consequences on people's lives, more clarity needs to be added to the existing information. Besides the stressful experiences related to the COVID-19 pandemic, SARS-CoV-2 infection has been proven to impact brain functioning through direct and indirect pathogenic mechanisms. In this context, we report a case of a patient presenting with a first episode of psychosis following COVID-19. In our case, a 28-year-old male patient with no personal or family psychiatric history developed psychotic symptoms (delusions, hallucinations, and disorganized behaviour) that required antipsychotic treatment and inpatient hospitalization one week after he was discharged from the hospital after COVID-19. At the six-month and one-year follow-up, the patient was in remission without any psychotic signs or symptoms. A brief review of the literature is also provided. The case presented in this article outlines the possibility that the post-COVD-19 recovery period might be a crucial time for the onset of acute psychotic disorder, and therefore, routine psychiatric assessments should be carried out during all phases of the disease. A clearer picture of the impact of the COVID-19 pandemic on mental health will most likely be revealed in the future as many consequences need long-term evaluation.
尽管自 COVID-19 大流行开始以来,文献中关于 COVID-19 对人们生活的各种影响的数据和假设越来越多,但仍需要对现有信息进行更多澄清。除了与 COVID-19 大流行相关的压力体验外,SARS-CoV-2 感染已被证明通过直接和间接的发病机制影响大脑功能。在此背景下,我们报告了一例 COVID-19 后出现首发精神病的病例。在我们的病例中,一名 28 岁的男性患者,无个人或家族精神病史,在 COVID-19 出院一周后出现精神病症状(妄想、幻觉和行为紊乱),需要抗精神病治疗和住院治疗。在六个月和一年的随访中,患者无精神病症状或体征,缓解。本文还简要回顾了文献。本文报告的病例提示,COVID-19 后恢复期可能是急性精神病发作的关键时期,因此,应在疾病的所有阶段进行常规精神评估。随着许多后果需要长期评估,未来很可能会更清楚地了解 COVID-19 大流行对心理健康的影响。