W Orme, N Nanavaty, M Carlson, A San Miguel, G Jones, Jh Head, Jc Fowler, K Podell, B Weinstein, A Blackmon, A Madan
Department of Psychiatry & Behavioral Health, Houston Methodist, Houston, Texas.
Department of Psychiatry & Behavioral Sciences, University of Texas Health Science Center at Houston, Texas.
Psychiatry Res Case Rep. 2023 Jun 25:100138. doi: 10.1016/j.psycr.2023.100138.
Acute phase COVID-19 has been associated with an increased risk for several mental health conditions, but less is known about the interaction of long COVID and mental illness. Prior reports have linked long COVID to PTSD, depression, anxiety, obsessive compulsive symptoms, and insomnia. This case report describes a novel presentation of mania arising in the context of long COVID symptoms with attention given to possible interacting etiological pathways. The case report also highlights the need for integrated, multidisciplinary treatment to support patients whose alarming, confusing, and multidetermined symptoms increase risk of psychological deterioration.
急性期新冠病毒感染（COVID-19）与多种心理健康状况的风险增加有关，但对于新冠后长期症状（long COVID）与精神疾病之间的相互作用了解较少。先前的报告已将新冠后长期症状与创伤后应激障碍（PTSD）、抑郁症、焦虑症、强迫症状和失眠联系起来。本病例报告描述了在新冠后长期症状背景下出现的一种新型躁狂表现，并关注了可能相互作用的病因途径。该病例报告还强调了需要综合、多学科治疗，以支持那些症状令人担忧、令人困惑且由多种因素决定，从而增加心理恶化风险的患者。
