CovidPsychoV1, Main, Exploration, bibRecord, 000574

Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode.

Identifieur interne : 000574 ( Main/Exploration ); précédent : 000573; suivant : 000575

Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode.

Auteurs : Jamie A. Mawhinney [Oman] ; Catherine Wilcock [Royaume-Uni] ; Hasan Haboubi [Royaume-Uni] ; Shahbaz Roshanzamir [Royaume-Uni]

Source :

BMJ case reports [ 1757-790X ] ; 2020.

RBID : pubmed:32540882

Descripteurs français

KwdFr :
- Adulte, Agitation psychomotrice (diagnostic), Agitation psychomotrice (traitement médicamenteux), Agitation psychomotrice (étiologie), Clonazépam (administration et posologie), Céphalée (virologie), Céphalée (étiologie), Diagnostic différentiel, Humains, Infections à coronavirus (), Infections à coronavirus (diagnostic), Infections à coronavirus (psychologie), Infections à coronavirus (thérapie), Liquide cérébrospinal (virologie), Mâle, Neuroimagerie (méthodes), Pandémies, Pneumopathie virale (), Pneumopathie virale (diagnostic), Pneumopathie virale (psychologie), Pneumopathie virale (thérapie), Psychoanaleptiques (administration et posologie), Résultat thérapeutique, Services des urgences médicales (méthodes), Symptômes affectifs (diagnostic), Symptômes affectifs (traitement médicamenteux), Symptômes affectifs (étiologie), Troubles psychotiques (diagnostic), Échelles d'évaluation en psychiatrie.
MESH :
- administration et posologie : Clonazépam, Psychoanaleptiques.
- diagnostic : Agitation psychomotrice, Infections à coronavirus, Pneumopathie virale, Symptômes affectifs, Troubles psychotiques.
- méthodes : Neuroimagerie, Services des urgences médicales.
- psychologie : Infections à coronavirus, Pneumopathie virale.
- thérapie : Infections à coronavirus, Pneumopathie virale.
- traitement médicamenteux : Agitation psychomotrice, Symptômes affectifs.
- virologie : Céphalée, Liquide cérébrospinal.
- étiologie : Agitation psychomotrice, Céphalée, Symptômes affectifs.
- Adulte, Diagnostic différentiel, Humains, Infections à coronavirus, Mâle, Pandémies, Pneumopathie virale, Résultat thérapeutique, Échelles d'évaluation en psychiatrie.

English descriptors

KwdEn :
- Adult, Affective Symptoms (diagnosis), Affective Symptoms (drug therapy), Affective Symptoms (etiology), Betacoronavirus (isolation & purification), Betacoronavirus (pathogenicity), Cerebrospinal Fluid (virology), Clonazepam (administration & dosage), Coronavirus Infections (cerebrospinal fluid), Coronavirus Infections (diagnosis), Coronavirus Infections (psychology), Coronavirus Infections (therapy), Diagnosis, Differential, Emergency Medical Services (methods), Headache (etiology), Headache (virology), Humans, Male, Neuroimaging (methods), Olanzapine (administration & dosage), Pandemics, Pneumonia, Viral (cerebrospinal fluid), Pneumonia, Viral (diagnosis), Pneumonia, Viral (psychology), Pneumonia, Viral (therapy), Psychiatric Status Rating Scales, Psychomotor Agitation (diagnosis), Psychomotor Agitation (drug therapy), Psychomotor Agitation (etiology), Psychotic Disorders (diagnosis), Psychotropic Drugs (administration & dosage), Treatment Outcome.
MESH :
- chemical , administration & dosage : Clonazepam, Olanzapine, Psychotropic Drugs.
- cerebrospinal fluid : Coronavirus Infections, Pneumonia, Viral.
- diagnosis : Affective Symptoms, Coronavirus Infections, Pneumonia, Viral, Psychomotor Agitation, Psychotic Disorders.
- drug therapy : Affective Symptoms, Psychomotor Agitation.
- etiology : Affective Symptoms, Headache, Psychomotor Agitation.
- isolation & purification : Betacoronavirus.
- methods : Emergency Medical Services, Neuroimaging.
- pathogenicity : Betacoronavirus.
- psychology : Coronavirus Infections, Pneumonia, Viral.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- virology : Cerebrospinal Fluid, Headache.
- Adult, Diagnosis, Differential, Humans, Male, Pandemics, Psychiatric Status Rating Scales, Treatment Outcome.

Abstract

A 41-year-old man with no significant medical history presented with acute behavioural disruption on the background of a 1-day history of severe headache and a 10-day history of dry cough and fever. He was sexually disinhibited with pressured speech and grandiose ideas. His behaviour worsened, necessitating heavy sedation and transfer to intensive care for mechanical ventilation despite no respiratory indication. Investigations confirmed that he was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Neuroimaging and a lumbar puncture were normal. Initial screening for SARS-CoV-2 in the cerebrospinal fluid was negative although no validated assay was available. The patient's mental state remained abnormal following stepdown from intensive care. Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid.

DOI: 10.1136/bcr-2020-236123
PubMed: 32540882
PubMed Central: PMC7298665

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000530
to stream Main, to step Curation: 000530

Le document en format XML

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<front><div type="abstract" xml:lang="en">A 41-year-old man with no significant medical history presented with acute behavioural disruption on the background of a 1-day history of severe headache and a 10-day history of dry cough and fever. He was sexually disinhibited with pressured speech and grandiose ideas. His behaviour worsened, necessitating heavy sedation and transfer to intensive care for mechanical ventilation despite no respiratory indication. Investigations confirmed that he was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Neuroimaging and a lumbar puncture were normal. Initial screening for SARS-CoV-2 in the cerebrospinal fluid was negative although no validated assay was available. The patient's mental state remained abnormal following stepdown from intensive care. Psychiatric assessment found features consistent with acute mania, and he was detained under the Mental Health Act. This case indicates the need to consider COVID-19 in a wider series of clinical presentations and to develop a validated assay for SARS-CoV-2 in the cerebrospinal fluid.</div>
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Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode.

Neurotropism of SARS-CoV-2: COVID-19 presenting with an acute manic episode.

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