Covid-19 Associated Psychotic Disorder With Suicidal Behaviour - Case Report

Borovina, Tonka; Mastelić, Tonći; Glavina, Gordana; Glavina, Trpimir

doi:10.24869/psyd.2021.421

Cited by 4 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cotard’s syndrome, typically characterised by nihilistic delusions and associated with perceived life-threatening illnesses [ 44 ], was observed in some cases [ 31 , 45 , 46 ]. Other reported clinical features of COVID-19-induced psychotic episodes included suicidal behaviour or ideation, aggressive or disorganised behaviour (which is similar to our case), and catatonia [ 29 , 30 , 32 , 35 , 38 , 47 , 48 , 49 ]. Even though numerous case studies have provided a detailed clinical presentation of the patients, assessment of symptom severity using rating scales is an important aspect that should not be overlooked in order to objectively describe the extent of the clinical picture.…”

Section: Discussion and Brief Review Of Literaturesupporting

confidence: 80%

“…Since the early stage of the pandemic, cases describing patients with COVID-19-induced psychosis were increasingly reported in the literature with the aim to highlight one of the numerous possible complications of this rapidly emerging infectious disease. Concerning psychopathological features, numerous cases presented female or male individuals with different types of delusions (i.e., persecutory, grandeur, reference, death, and religious) and auditory hallucinations [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ] as the main part of clinical presentation. Of note, similar to our case, the symptomatology reported in some patients included visual or tactile hallucinations as well [ 28 , 31 , 32 , 33 ], which are a common characteristic of psychosis due to organic aetiology [ 42 ].…”

Section: Discussion and Brief Review Of Literaturementioning

confidence: 99%

See 1 more Smart Citation

COVID-19-Associated Acute Psychotic Disorder—Longitudinal Case Report and Brief Review of Literature

et al. 2023

View full text Add to dashboard Cite

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.

show abstract

Section: Discussion and Brief Review Of Literaturesupporting

confidence: 80%

Section: Discussion and Brief Review Of Literaturementioning

confidence: 99%

COVID-19-Associated Acute Psychotic Disorder—Longitudinal Case Report and Brief Review of Literature

et al. 2023

View full text Add to dashboard Cite

show abstract

“…A fast improvement was observed in 33 (39.3%) patients. One patient showed a foudroyant course of COVID-19 and died (Elkhaled et al, 2020), another patient's psychosis remitted, but she died some days later for unknown reasons (Borovina et al, 2021).…”

Section: Patients With Infectionmentioning

confidence: 99%

First-episode psychotic disorders in the wake of the COVID-19 pandemic: a descriptive review of casereports

Rittmannsberger¹,

Barth²,

Malík³

et al. 2022

Acta Neuropsychiatr.

View full text Add to dashboard Cite

Objective: Since the onset of COVID-19 pandemic many case reports and case series dealt with new onset psychotic disorders in patients either infected with SARS-CoV-2 or thematically linked to the pandemic, but without an infection. Our aim was to provide a comprehensive collection of these reports to illustrate the nature of these psychoses. Methods: We conducted a literature search in Medline, EMBASE, PSYCHINFO, using search terms regarding first episode psychotic disorders in the context of corona. Results: 96 case reports or case series covering 146 patients (62 without and 84 with SARS-CoV-2 infection) were found. Compared to patients without infection, patients with infection showed significantly more often visual hallucinations (28.6% vs 8.1%), confusion (36.9% vs 11.3%), an acute onset of illness (88.5% vs 59.6%) and less often depression (13.1% vs 35.5%) and a delusional content related to the pandemic (29.5% vs 78.3%). Both groups had an equally favourable outcome with a duration of psychosis ≤2 weeks in half and full remission in two thirds of patients. In patients with infection signs of inflammation were reported in 78.3% and increased CRP in 58.6%. While reports on patients with infection are continuously published, no report about patients without infection was found after July 2020. Conclusion: Cases without infection were considered reactive and originated all from the first wave of the Corona pandemic. In cases with infection, inflammation was considered as the main pathogenetic factor but was not found in all patients. Diagnosis was impeded by the overlap of psychosis with delirium.

show abstract

“…Discharged in stable condition on 5 th day. Borovina et al, 2021 ( 14 ) 74-year-old female Suicide attempt, changes in sleep, paranoid delusions Fever, rhinorrhea, headache, fatigue No history of psychosis Normal CRP Risperidone 6 mg per day, diazepam 15 mg per day >Standard dose Symptoms improved within 10 days of admission. Patient died suddenly on the 12th day of hospitalization.…”

Section: Resultsmentioning

confidence: 99%

“…Contrasting these case reports, Kumar et al and Parker et al describe patients whose recovery took 3 months and 6 weeks after symptom onset, respectively ( 18 , 20 ). Borovina et al present a patient who improved significantly within 10 days of hospitalization but died unexpectedly 2 days later ( 14 ). This review shows that over half (53%) of the patients in which antipsychotic dosing was reported improved significantly on very low or low dose antipsychotics.…”

Section: Discussionmentioning

confidence: 99%

New-Onset Psychosis in the Context of COVID-19 Infection: An Illustrative Case and Literature Review

O'Leary

Keenmon

2023

Journal of the Academy of Consultation-Liaison Psychiatry

View full text Add to dashboard Cite

Covid-19 Associated Psychotic Disorder With Suicidal Behaviour - Case Report

Cited by 4 publications

References 0 publications

COVID-19-Associated Acute Psychotic Disorder—Longitudinal Case Report and Brief Review of Literature

COVID-19-Associated Acute Psychotic Disorder—Longitudinal Case Report and Brief Review of Literature

First-episode psychotic disorders in the wake of the COVID-19 pandemic: a descriptive review of casereports

New-Onset Psychosis in the Context of COVID-19 Infection: An Illustrative Case and Literature Review

Contact Info

Product

Resources

About