Breathing CORONA into the PSYCHE: An Interesting Case Series During COVID-19 Pandemic
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Breathing CORONA into the PSYCHE: An Interesting Case Series During COVID-19 Pandemic Madhukar Upadhyay1
•
Love Kumar Tomar1
•
Priyadarshee Patra2
Received: 1 September 2020 / Accepted: 7 October 2020 Ó Association of Otolaryngologists of India 2020
Abstract The ongoing COVID 19 pandemic has taken a toll on not only physical health but the mental well being of the individuals too. This novel virus has shaken the very fabric of the society. Every individual irrespective of his education and socioeconomic status has been affected by this pandemic. It is surprising to see how the effects of this pandemic slowly crept into the psyche of the individuals thereby unleashing symptoms which were hidden till now. This series highlights few such cases where the presenting symptoms were initially thought to be ENT disorders but later revealed themselves as severe psychiatric symptoms in disguise. It is pertinent to note that timely intervention helped these individuals to recover completely and go back to leading a normal life in spite of prevailing uncertainty about the pandemic. Keywords ENT Psychiatry Covid-19 Novel symptoms
Introduction The COVID-19 has affected the whole world at an unprecedented scale and has affected almost every aspect of human life. On one hand it is proving hazardous to & Madhukar Upadhyay [email protected] Love Kumar Tomar [email protected] Priyadarshee Patra [email protected] 1
158 Base Hospital, Siliguri, West Bengal 734014, India
2
Command Hospital, Kolkata, Kolkata, West Bengal 700001, India
physical health while on other it is being detrimental to our mental health [1–4]. Current legislative and administrative measures like lockdown and work from home have severely affected the mental state of normal otherwise healthy individuals [5]. There has been a significant rise in stress levels of individuals leading to undue worries, anxiety and affective symptoms. Both the consequences of viral outbreak and imposed measures leading to social isolation along with restriction of activities in all domains of life have put the vulnerable individual to the risk of development of syndromal psychopathology [6]. Though most of the outpatient departments are having less number of patients than usual however Psychiatry OPD on the contrary continues to have regular visits of old and new psychiatric cases with novel symptoms ascribing to the COVID-19 pandemic [7]. Here we present a case series compiled at a peripheral hospital of individuals who initially presented to ENT OPD but were subsequently found to be in the need of psychiatric care and treatment. All the individuals in these case series were tested negative for COVID-19 by RT-PCR.
Case 1 A16 year old boy, studying in tenth standard brought by parents to ENT OPD with history of persistent coughing and making repeated sounds from the throat for the last 1 month. A detailed ENT evaluation including videolaryngoscopy failed to reveal any significant findings. However during the examination, the individual
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