L. Bond, D. Killeen, B. Hennessy, D. Wolde-Giorgis, I. Whyte, B. Doody, T. Rudd
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Comorbidities and COVID-19—A case study of an adolescent's tumultuous journey through psychosis
Background
Psychosis in children and adolescents is devastating to those affected. The addition of comorbid medical comorbidities can further complicate presentation and management. Additionally, there is growing literature about a possible link between psychosis and COVID-19.
Case Presentation
The authors present a case of a 16-year-old Irish/Nigerian male with first episode psychosis admitted to a child and adolescent psychiatric inpatient unit in Ireland. The patient had a complex medical history of glcose-6-phosphate dehydrogenase deficiency, narcolepsy, and co-infection of coronavirus disease 2019 (COVID-19). The presence of multiple co-morbidities made management challenging. Additionally, culturo-religious factors arose which arose as barriers to the therapeutic relationship between the patient and his family.
Conclusions
This case highlights the complexity of managing psychosis in an adolescent with multiple serious medical comorbidities. Further research exploring the relationship between medical comorbidities and psychosis is warranted to improve patient outcomes.
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