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成功治疗新冠后 ADHD 样综合征:一例报告。

Successful Treatment of Post-COVID-19 ADHD-like Syndrome: A Case Report.

机构信息

Federal University of Rio Grande do Sul, Porto Alegre Brazil.

National Institute of Developmental Psychiatry for Children and Adolescents (CNPq), Sao Paulo, Brazil.

出版信息

J Atten Disord. 2023 Aug;27(10):1092-1098. doi: 10.1177/10870547231168338. Epub 2023 Apr 13.

Abstract

Despite inattention being one of the most common symptoms of Post-COVID-19 Syndrome (PCS), there is a gap in the literature regarding its treatment. This report presents a case of attentional symptoms and fatigue that emerged after the SARS-CoV-2 infection. The symptoms were similar to ADHD in adults, although the 61-year-old patient had never experienced inattention symptoms before. The patient was initially treated with Methylphenidate and then Lisdexamfetamine. Both were adapted to the needs and treatment response presented by the patient. After several changes in the therapeutic regimen, including the addition of Bupropion, the patient achieved remission of his symptoms. This case highlights the importance of treating PCS inattention and fatigue as an ADHD-like syndrome, despite the evident different etiology of symptoms. It would be necessary to replicate these findings to confirm our results, thus benefiting other patients currently affected by this syndrome.

摘要

尽管注意力不集中是新冠后综合征(PCS)最常见的症状之一,但关于其治疗方法的文献仍存在空白。本报告介绍了一例 SARS-CoV-2 感染后出现注意力症状和疲劳的病例。这些症状与成人多动症相似,尽管这位 61 岁的患者以前从未出现过注意力不集中的症状。该患者最初接受了哌醋甲酯治疗,然后改用利他林。两种药物均根据患者的需求和治疗反应进行了调整。在治疗方案多次改变后,包括添加安非他酮,患者的症状得到缓解。该病例强调了将 PCS 注意力不集中和疲劳作为一种类似多动症的综合征进行治疗的重要性,尽管症状的明显病因不同。有必要复制这些发现以确认我们的结果,从而使目前受这种综合征影响的其他患者受益。

相似文献

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Successful Treatment of Post-COVID-19 ADHD-like Syndrome: A Case Report.成功治疗新冠后 ADHD 样综合征:一例报告。
J Atten Disord. 2023 Aug;27(10):1092-1098. doi: 10.1177/10870547231168338. Epub 2023 Apr 13.

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