Medically unexplained symptoms in the times of Covid-19 pandemic: a case-report
Identifieur interne : 000013 ( Psycho/Analysis ); précédent : 000012; suivant : 000014Medically unexplained symptoms in the times of Covid-19 pandemic: a case-report
Auteurs : Marco Colizzi [Italie, Royaume-Uni] ; Riccardo Bortoletto ; Marta Silvestri ; Federica Mondini ; Elena Puttini ; Chiara Cainelli ; Rossella Gaudino [Italie] ; Mirella Ruggeri [Italie] ; Leonardo ZoccanteSource :
- Brain, Behavior, & Immunity Health [ 2666-3546 ] ; 2020.
Abstract
In early 2020, a novel coronavirus (SARS-CoV-2) leading to a potentially fatal condition was discovered. Since then, the 2019 coronavirus disease (COVID-19) has spread worldwide becoming a pandemic. Beyond the risks strictly related to the infection, concerns have been expressed for the psychological impact that COVID-19 may have, especially on vulnerable individuals with pre-existing mental health conditions. Somatic symptom disorder (SSD) is characterized by a dysfunctional preoccupation with physical symptoms leading to excessive and unnecessary healthcare utilization. Despite being quite common, such condition remains underrecognized. We report a detailed clinical case of a 16 years old adolescent, who presented with a history suggestive of COVID-19 infection and associated psychological distress. Despite testing negative for the presence of SARS-CoV-2, his extreme and persisting health preoccupations required an inpatient admission to the Child and Adolescent Neuropsychiatric Unit. He responded rapidly to a low dose of antipsychotic and an antidepressant. Based on his medical history and current presentation, he received a diagnosis of SSD. When COVID-19-like symptoms occur, we highlight the importance of differentially diagnosing a possible exacerbation of a pre-existing SSD, triggered by fear of being infected. This may help preventing further burden to the healthcare system.
Url:
DOI: 10.1016/j.bbih.2020.100073
PubMed: NONE
PubMed Central: 7166302
Affiliations:
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last="Colizzi">Marco Colizzi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona</wicri:regionArea><wicri:noRegion>University of Verona</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff2">National Institute for Health Research (NIHR) Biomedical Research Centre (BRC), South London and Maudsley NHS Foundation Trust, and Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>National Institute for Health Research (NIHR) Biomedical Research Centre (BRC), South London and Maudsley NHS Foundation Trust, and Department of Psychosis Studies, 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and Gynaecology, University of Verona, Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Section of Paediatrics, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author><author><name sortKey="Ruggeri, Mirella" sort="Ruggeri, Mirella" uniqKey="Ruggeri M" first="Mirella" last="Ruggeri">Mirella Ruggeri</name><affiliation wicri:level="1"><nlm:aff id="aff1">Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona</wicri:regionArea><wicri:noRegion>University of Verona</wicri:noRegion></affiliation></author><author><name sortKey="Zoccante, Leonardo" sort="Zoccante, Leonardo" uniqKey="Zoccante L" first="Leonardo" last="Zoccante">Leonardo Zoccante</name><affiliation><nlm:aff id="aff3">Child and Adolescent Neuropsychiatry Unit, Maternal-Child Integrated Care Department, Integrated University Hospital of Verona</nlm:aff><wicri:noCountry code="subfield">Integrated University Hospital of Verona</wicri:noCountry></affiliation></author></analytic><series><title level="j">Brain, Behavior, & Immunity Health</title><idno type="eISSN">2666-3546</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In early 2020, a novel coronavirus (SARS-CoV-2) leading to a potentially fatal condition was discovered. Since then, the 2019 coronavirus disease (COVID-19) has spread worldwide becoming a pandemic. Beyond the risks strictly related to the infection, concerns have been expressed for the psychological impact that COVID-19 may have, especially on vulnerable individuals with pre-existing mental health conditions. Somatic symptom disorder (SSD) is characterized by a dysfunctional preoccupation with physical symptoms leading to excessive and unnecessary healthcare utilization. Despite being quite common, such condition remains underrecognized. We report a detailed clinical case of a 16 years old adolescent, who presented with a history suggestive of COVID-19 infection and associated psychological distress. Despite testing negative for the presence of SARS-CoV-2, his extreme and persisting health preoccupations required an inpatient admission to the Child and Adolescent Neuropsychiatric Unit. He responded rapidly to a low dose of antipsychotic and an antidepressant. Based on his medical history and current presentation, he received a diagnosis of SSD. When COVID-19-like symptoms occur, we highlight the importance of differentially diagnosing a possible exacerbation of a pre-existing SSD, triggered by fear of being infected. This may help preventing further burden to the healthcare system.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Baranowska, B" uniqKey="Baranowska B">B. Baranowska</name></author><author><name sortKey="Kochanowski, J" uniqKey="Kochanowski J">J. Kochanowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barsky, A J" uniqKey="Barsky A">A.J. Barsky</name></author><author><name sortKey="Orav, E J" uniqKey="Orav E">E.J. Orav</name></author><author><name sortKey="Bates, D W" uniqKey="Bates D">D.W. Bates</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bedard Thomas, K K" uniqKey="Bedard Thomas K">K.K. 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Goldacre</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wilder Smith, A" uniqKey="Wilder Smith A">A. Wilder-Smith</name></author><author><name sortKey="Freedman, D O" uniqKey="Freedman D">D.O. Freedman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yao, H" uniqKey="Yao H">H. Yao</name></author><author><name sortKey="Chen, J H" uniqKey="Chen J">J.H. Chen</name></author><author><name sortKey="Xu, Y F" uniqKey="Xu Y">Y.F. Xu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>King's College de Londres</li></orgName></list><tree><noCountry><name sortKey="Bortoletto, Riccardo" sort="Bortoletto, Riccardo" uniqKey="Bortoletto R" first="Riccardo" last="Bortoletto">Riccardo Bortoletto</name><name sortKey="Cainelli, Chiara" sort="Cainelli, Chiara" uniqKey="Cainelli C" first="Chiara" last="Cainelli">Chiara Cainelli</name><name sortKey="Mondini, Federica" sort="Mondini, Federica" uniqKey="Mondini F" first="Federica" last="Mondini">Federica Mondini</name><name sortKey="Puttini, Elena" sort="Puttini, Elena" uniqKey="Puttini E" first="Elena" last="Puttini">Elena Puttini</name><name sortKey="Silvestri, Marta" sort="Silvestri, Marta" uniqKey="Silvestri M" first="Marta" last="Silvestri">Marta Silvestri</name><name sortKey="Zoccante, Leonardo" sort="Zoccante, Leonardo" uniqKey="Zoccante L" first="Leonardo" last="Zoccante">Leonardo Zoccante</name></noCountry><country name="Italie"><noRegion><name sortKey="Colizzi, Marco" sort="Colizzi, Marco" uniqKey="Colizzi M" first="Marco" last="Colizzi">Marco Colizzi</name></noRegion><name sortKey="Gaudino, Rossella" sort="Gaudino, Rossella" uniqKey="Gaudino R" first="Rossella" last="Gaudino">Rossella Gaudino</name><name sortKey="Ruggeri, Mirella" sort="Ruggeri, Mirella" uniqKey="Ruggeri M" first="Mirella" last="Ruggeri">Mirella Ruggeri</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Colizzi, Marco" sort="Colizzi, Marco" uniqKey="Colizzi M" first="Marco" last="Colizzi">Marco Colizzi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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