During the COVID‐19 pandemic, we should not forget about chronic, underlying and important diseases, especially diseases that cause immune system deficiency, of which TB is one and may be missed. Also, we should pay attention to the past medical history of the patients and their drug‐drug interactions during the treatment period of COVID‐19. Our main clinical message is that diseases such as TB, which weaken the immune system, may predispose a person to COVID‐19 infection and COVID‐19 may exacerbate TB and it’s mortality. On the other hand, diseases that target the lung tissue such as TB and COVID‐19, may have synergistic effects and increase mortality (for a patient whose lung capacity is reduced due to TB, superimposed COVID‐19 can worsen the situation). In addition, it may be necessary to take more serious considerations for COVID‐19 in low socio‐economy countries, such as Afghanistan, where TB is more prevalent

Abstract Background: Several factors have been reported for COVID-19 disease. In addition, patients with COVID-19 are also susceptible to suffer from other problems. In this study, a case suffering from TB meningitis is reported to have developed COVID-19 disease, eventually showing symptoms of psychological disorders.Case presentation: A young Afghan woman was hospitalized with TB meningitis who did not respond to treatment. After a while, she was hospitalized again with diagnosis of COVID-19. The patient showed symptoms of postpartum depression and anxiety. She also had pseudoseizure attacks several times, so antidepressants and anti-anxiety medications were started for the patient In order to treat conversion disorder and panic disorders.Conclusion: Tuberculous meningitis, postpartum depression and other factors can increase the risk of COVID-19 infection leading to psychological disorders like conversion disorder in susceptible.

Background: One of the main issues in treating, preserving and promoting the human dignity is caring for patients' satisfaction and preventing harm, maltreatment, or damage to the patient. Therefore, the level of moral development based on Kohlberg's theory was studied among medical students of Rafsanjan University of Medical Sciences. Methods: In the current cross-sectional study, eligible medical students (N=220) of Rafsanjan University of Medical Sciences were enrolled over a 12-months period. Data were collected by demographic checklist and Kohlberg's ethical evolution questionnaires. Data were analyzed using SPSS-20, by Kruskal-Wallis, Mann-Whitney, ANOVA, and t-tests. Results: There were no significant differences in terms of gender, educational level, marital status, and place of residence for decision-making positions and questions The mean and standard deviation of the scores related to “questions, priority, decision-making position and degree” showed that the highest mean was obtained in “priority” with 17.9 ± 3.6 and the lowest in “degree” with 1. 9 ± 1.09. The frequency and percentage of similar decision-making were reported in the study participants; the highest score was related to the decision-making in position 3 (Adults death wish) with frequency of 94 and percentage of 41.6% and the lowest score was related to position 5 (Patient at the end stage of disease) with frequency of 8 and percentage of 3.5%. None of the indicators of age, sex, marital status, and the level of admission was not significant in this study and cannot be mentioned as a predicator in the stages of moral evolution. Conclusion: Given the importance of discussing ethics as one of the most important modalities of the human and social sciences and its impressive impact on all aspects of human life, it is clear that applying a scientific approach can determine all aspects of the factors that affect the observance of ethical principles.