covid-19和躁狂症:一个随访一年的病例。

Hamdi Yılmaz
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摘要

COVID-19 可能会影响中枢神经系统。与中枢神经系统有关的症状可能通过病毒直接侵入神经、炎症、自身免疫、社会心理压力和治疗副作用而出现。COVID-19 可增加现有精神疾病的严重程度,也可诱发新的精神疾病。在本病例报告中,我们介绍了一名 52 岁的男性患者,他以前没有精神病史,也没有精神病家族史。患者的躁狂症状开始于他因严重的 COVID-19 肺炎住院期间。患者自行出院,14 天后被其亲属非自愿带到急诊科,并被收治到精神科。本病例报告讨论了可能的致病因素,并介绍了住院期间的治疗过程和一年的随访情况。我们的目的是通过讨论可能的致病因素以及在治疗 COVID-19 期间开始出现的躁狂症的处理方法,为相关文献做出贡献。COVID-19 可影响中枢神经系统并伴有精神症状。关键词COVID-19、躁狂症、双相情感障碍、中枢神经系统。
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COVID-19 AND MANIA: A CASE WITH A ONE-YEAR FOLLOW UP.

COVID-19 may affect central nervous system. The symptoms related to the CNS may occur through the direct neuroinvasion of the virus, inflammation, autoimmunity, psychosocial stressors and treatment side effects. COVID-19 can increase the severity of existing mental illnesses and also trigger the onset of a new mental illness. In this case report, we present a 52-year-old male patient with no previous psychiatric history as well as no family history of mental illness. The patient's manic symptoms began while he was hospitalized due to severe COVID-19 pneumonia. The patient, who self-discharged himself from the hospital was brought to the emergency department involuntarily by his relatives 14 days later and was admitted to the psychiatry service. In this case report, possible etiological factors were discussed and the treatment course during the hospitalization and one year follow-up were presented. Our aim is to contribute to the literature by discussing possible etiological factors and management of mania that started during the treatment of COVID-19. COVID-19 can affect the central nervous system and be associated with psychiatric symptoms. Keywords: COVID-19, Mania, Bipolar Disorder, Central Nervous System.

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