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First episode psychosis related to COVID-19 infection

Published online by Cambridge University Press:  01 September 2022

S. Dhakouani ,
R. Kammoun ,
M. Skini ,
M. Karoui  and
F. Ellouz
S. Dhakouani*
Affiliation:
Razi hospital, G, Tunis, Tunisia
R. Kammoun
Affiliation:
Razi Hospital, Psychiatry G, manouba, Tunisia
M. Skini
Affiliation:
Razi Hospital, Psychiatry G, manouba, Tunisia
M. Karoui
Affiliation:
Razi Hospital, Psychiatry G, manouba, Tunisia
F. Ellouz
Affiliation:
Razi Hospital, Psychiatry G, manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

During the course of COVID-19 pandemic, The respiratory system is the most commonly affected while many neuropsychiatric manifestations of the disease have been observed.

Objectives

Emphasize the importance of eliminating the diagnosis of covid 19 infection in a pandemic context face to first episode psychosis.

Methods

Presentation of case report

Results

A 29-year-old woman unemployed married with no personal medical history and with psychiatric family history. She wasn’t exposed to subject with covid 19 in her family circle. She was admitted in psychiatric care for acute behavioural disorders during five days. On physical examination: she was afebrile, eupneic and tachycardiac. Oxygen saturation was 96% and blood pressure was 100/50 mmHg. Specialized neurological examination was normal and cerebral CT scan was without abnormalities. At the psychiatric interview she was extremely agitated. She was distressed her speech was incoherent. She had auditory and visual hallucinations and a multi-thematic delirium. One day after her admission she died suddenly, the autopsy found positive RT PCR covid test and bilateral basal pneumonia.

Conclusions

In individuals presenting with new-onset psychosis in areas endemic to COVID-19, consideration should be made for neuropsychiatric manifestations of Covid 19 from where the importance to push the explorations and to test the patients.

Disclosure

No significant relationships.

Keywords

NeuropsychiatryPsychosiscovid 19
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S528 - S529
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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