Medically unexplained symptoms in the times of Covid-19 pandemic: a case-report
Identifieur interne : 000368 ( 2020/Analysis ); précédent : 000367; suivant : 000369Medically 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: 32313886
PubMed Central: 7166302
Affiliations:
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PMC:7166302Le document en format XML
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<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>
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<affiliations><list><country><li>Italie</li>
<li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
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<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Colizzi, Marco" sort="Colizzi, Marco" uniqKey="Colizzi M" first="Marco" last="Colizzi">Marco Colizzi</name>
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