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Published on: November 21, 2013
Psychosis After Infection With SARS-CoV-2 in an Adolescent: A Case Report
Reena Thomas1, Michael J Hernandez2, Roy Thomas3
1Johns Hopkins All Children's Hospital, St. Petersburg, Florida.
A third of COVID-19 patients experience long-term neuropsychiatric issues, including psychosis. These symptoms, often presenting acutely with hallucinations, may indicate a reversible medical cause.
Area of Science:
- Neurology
- Psychiatry
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) can lead to persistent neuropsychiatric complications in a significant portion of patients.
- Neuropsychiatric symptoms following COVID-19 infection are increasingly recognized, with case reports highlighting associations with psychosis in adults.
Observation:
- A notable percentage of individuals recovering from COVID-19 report enduring symptoms affecting cognitive and emotional functions.
- Psychotic symptoms, such as hallucinations and altered perceptions, have been observed in the context of COVID-19 infection.
Findings:
- Up to one-third of patients with COVID-19 may develop long-term neuropsychiatric conditions, including anxiety, depression, brain fog, psychosis, seizures, and suicidal ideation.
- First-episode psychosis following COVID-19 can present with acute onset, visual or tactile hallucinations, and other neurological signs, suggesting a potential medical etiology.
Implications:
- Recognizing these neuropsychiatric sequelae is crucial for timely diagnosis and management of post-COVID-19 neurological and psychiatric disorders.
- The potential reversibility of psychosis linked to medical illness in the context of COVID-19 underscores the need for comprehensive patient evaluation.
- Further research is warranted to elucidate the mechanisms underlying COVID-19-associated neuropsychiatric symptoms and to develop targeted therapeutic strategies.
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